Location of the inflamed appendix in the right paracolic gutter typically results in flank pain mimicking acute pyelonephritis or ureteral calculus.
Appendicitis fluid in paracolic gutter.
Bile pus or blood released from viscera anywhere along its length may run along the gutter and collect in sites quite remote from the organ of origin.
In addition symptoms resembling those of gastroenteritis may result from colonic irritation.
Appendix in the right paracolic gutter.
In the abdominal cavity fluid leaches from the colon into either the left or the right lateral gutter and then drains down the gutter into the pelvic area.
Anterior segment arrow is partially compressed with flattened oval shape and normal diameter of 5 mm but posterior segment arrowhead is rounded with diameter of 7 mm.
Drainage in patients lying down can be reversed with infectious material from an infected appendix located near the cecum running up the right paracolic gutter.
Left there is pericholecystic fluid and free fluid in the right paracolic gutter which is caused by.
Abdominal pelvic computed tomography showed abnormal fluid collection in the subdiaphragmatic lateral subhepatic and capsular regions extending into the right paracolic gutter see accompanying.