405 fasts reviewed 100 included.
Paracolic gutter fluid ultrasound.
32 had free fluid in luq.
Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter.
Clear fluid without internal echoes is likely to be reactive.
Ultrasound is variably sensitive depending on the size of the patient and the operator.
In thin patients relatively small volume of fluid can be found.
Although ultrasound is sensitive to detect small amounts of peritoneal free fluid it cannot accurately differentiate types of peritoneal free fluid.
4 in paracolic gutter.
Left paracolic gutter inferior to spleen.
6 or 6 if you re a math whiz had isolated luq free fluid 86 5 of 6 had isolated splenic injury the other had renal lac liver lac and ivc injury.
It is also known as sulci paracolic and paracolic recesses.
Providers can use ultrasound to detect peritoneal free fluid and guide procedures like paracentesis.