The patient presented with an elevated white blood cell count and right upper quadrant pain.
Appendicitis fluid in paracolic gutter.
Fluid from an infected appendix can track up the right paracolic gutter to the hepatorenal recess.
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.
Appendix in the right paracolic gutter.
Trace periappendiceal hypoechoic fluid is seen which is nonspecific and may relate to edema or trace dependent fluid in paracolic gutter.
In addition symptoms resembling those of gastroenteritis may result from colonic irritation.
Left there is pericholecystic fluid and free fluid in the right paracolic gutter which is caused by.
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.
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.