In addition symptoms resembling those of gastroenteritis may result from colonic irritation.
Appendicitis fluid in paracolic gutter.
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.
The patient presented with an elevated white blood cell count and right upper quadrant pain.
Appendix in 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.
Fluid from an infected appendix can track up the right paracolic gutter to the hepatorenal recess.
Location of the inflamed appendix in the right paracolic gutter typically results in flank pain mimicking acute pyelonephritis or ureteral calculus.
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.