Paracolic Gutter Fluid Ultrasound
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Paracolic gutter fluid ultrasound. Collections of peritoneal free fluid appear black or anechoic on ultrasound imaging. Clear fluid without internal echoes is likely to be reactive. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. In thin patients relatively small volume of fluid can be found.
32 had free fluid in luq. Ultrasound is variably sensitive depending on the size of the patient and the operator. 4 in paracolic gutter. Although ultrasound is sensitive to detect small amounts of peritoneal free fluid it cannot accurately differentiate types of peritoneal free fluid.
Etiologically it means a channel adjacent to the abdominal wall. Providers can use ultrasound to detect peritoneal free fluid and guide procedures like paracentesis. Left paracolic gutter inferior to spleen.
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