The paracolic gutters are connected to the subphrenic spaces above and pelvic space below. Tubo ovarian abscess may also rarely form a fistula to the adjacent bowel or bladder a finding that may be suspected when gas is detected within the tubo ovarian abscess cavity and when there is focal wall thickening in the adjacent bowel. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity.
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