The left paracolic gutter is larger than the right which together with the partial barrier provided by the phrenicocolic ligament also known as hensing s ligament may explain why left subphrenic collections are more common than right subphrenic collections 1. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity. It is usually associated with peritonitis or postoperative infections.
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