A curve, turn, or fold, such as a bend in a tubular organ: a flexure of the colon. Early imaging with MRI in the case of pregnancy is indicated and early surgical intervention once the diagnosis is established. Background: Standardized protocols for laparoscopic surgery of splenic flexure cancer (SFC) have not been established yet. 29 An increase in operative time, time to flatus, time to regular diet, and hospital stay was. splenic function: Milzfunktion {f} med. A moderate consensus was reached regarding utilizing complete mesocolic excision and central vascular ligation principles for treating splenic flexure carcinoma, with a percentage. Discussion. Visualization of rectum, sigmoid colon, descending colon to splenic flexure. Background The splenic flexure is irrigated from two vascular areas, both from the middle colic and the left colic artery. Laparoscopy. Over time, aneurysms may grow. 17. flexure bearing: Festkörpergelenk {n} med. Owing to extensive adhesions and a late stage of cancer. Similar symptoms caused by ordinary gas attacks are relieved by passing gas by mouth or by rectum. 4. As a rule it is of a scirrhous, adenocarcinomatous, slowly growing, slowly metastasizing, ring-constricting type. 42 days. Citation, DOI, disclosures and article data. , A cell needs a receptor in order to absorb LDL's. 2b). Variability of splenic flexure blood supply has been described in different ways among literatures: usually, venous drainage from the left colon and splenic flexure formed by several branches that join the inferior mesenteric vein (IMV). As the latter invades through the spleen matter, there is the creation of a splenocolic fistula, which allows the migration of normal gut flora into the spleen. flexure [flek´sher] a bend or fold. right inguinal regoin. This provides one theory as to why mobilising the splenic flexure may be more difficult in male patients. 2-cm round to oval mass (arrows) with echogenicity identical to that of the spleen at the splenic hilum, suggesting an accessory spleen. Although embryological and anatomical consideration should be helpful to perform CME in colorectal cancer surgery, such studies on the splenic flexure. However, splenic flexure colon cancer does not have a worse long-term prognosis than other malignancies [23,24]. The splenic hilum is found on the inferomedial aspect of the gastric imprint. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. ∙ 10y ago. The preference for segmental resection of the splenic flexure is relatively low in several centers , while others strongly advocate for this colon-sparing option as it avoids unnecessary resection of the middle colic vessels and preserves colonic length [6–10]. 4 to 8 percent of colonic procedures . : pain in the upper left quadrant of the abdomen that may radiate upward to the left shoulder and inner aspect of the left arm and that sometimes mimics. The surgeon uses an ultrasonic scalpel to separate the greater omentum toward the left up to the splenic flexure of the colon along the superior border of the transverse colon. cc. Spleen Injury – The spleen becomes swollen and irritated due to blunt force trauma and other types of physical injury. Techniques for colon resection are reviewed. 2010 to 16. The splenic flexure marks an intermediate position in the colon both anatomically and physiologically. located in the left upper quadrant or left hypochondrium. A disease that interferes with the functioning of these LDL. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. e. Thus, the vascular supply of the splenic flexure is highly variable. position. Occlusion. With over 1 million new cases and more than 550,000 estimated deaths in 2018, colorectal cancer is the third most common cancer worldwide []. This study aims to compare the perioperative and long-term outcomes of different alternatives for emergency SFC resection. 6. For the present analysis, SFC patients were selected if. Accessory Spleen. Splenic flexure syndrome. It’s situated close to the. It's also the place where many blood. The superior extent of the splenic flexure of the colon reached high in the left hypochondrium, causing effacement of the left posterior costophrenic recess [ Figure 1 ]. Large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. splenic v & SMV. Synonym(s): lienal , splenetic (1) anat. For the present analyses, SFC patients were selected if they met the following criteria: (1) age > 18 years; (2) colon cancer located at the splenic flexure (i. The tail of the pancreas leaves an impression between the hilum and colic impression sites. FIGURE 4 – Proper exposure allows the surgeon to separate the large colon omentum (intercoloepiploic detachment),Best Answer. The feeder pattern of the splenic flexure. Chapter 11 Procedure: Colectomy with a take-down of splenic flexure. appendix. Thrombocytopenia is when you have a low. The splenic flexure was above the hilum of the spleen in 95 patients (67. If the physician does not pass the splenic flexure, however, the procedure is an incomplete colonoscopy. tine splenic flexure mobilization; however, they believe that the morbidity and mortality that result from anastomotic complications prevail over the associated risks. lobos liver body of pancreas l. An AP radiograph of the pelvis reveals that the obturator foramen on the right is considerably smaller than on the left. -at least 25% of stools involve straining or feelings of incomplete evacuation. This is the American ICD-10-CM version of D12. The amount of gas in the transverse colon seems to be related with functional. In this study, the IMV entered the splenic vein in 34. 2. An enlarged spleen. Longitudinal ultrasonography of the spleen shows an approximately 1. Materials and methods The vascular anatomy, manually 3D reconstructed from 32 preoperative high-resolution CT. We also reviewed the literature-linking colon cancer and splenic abscess with specific attention to the carcinoma of the splenic flexure. When this area becomes irritated or inflamed, it can lead to a variety of symptoms that can affect a person’s daily life. It is characterised by excessive pain, abdominal spasms, bloating, change in bowel movement etc. Left lower quadrant contains the following structures. Lernen Sie die Übersetzung für 'splenicx20flexure' in LEOs Englisch ⇔ Deutsch Wörterbuch. Splenic flexure volvulus (SFV) is a rare condition of colonic obstruction and is the least common site of the colon to develop volvulus, comprising 2% of colonic volvulus . The occurrence in the splenic flexure of the colon is very rare . Conclusion. Splenic injury is an extremely rare, yet serious, complication related to colonoscopy. A: Hepatic flexure B: Splenic flexure C: Sigmoid colon D: Ileocecal valve and more. 11:56. Splenic flexure cancer was defined as a tumor located in the distal third of the transverse colon, or in the left colonic angle, or in the proximal descending colon within 10 cm from the flexure []. 3 - other international versions of ICD-10 D12. Deepen the dissection in the subcutaneous tissues with electrocautery until the anterior rectus fascia. 7%. 17. The accessory middle colic artery. Study with Quizlet and memorize flashcards containing terms like At the splenic flexure, the a. 6%) and 39 (69. Splenic flexure takedown is an important surgical step during the resection and reconstruction of left-sided colonic and rectal cancer [1, 2]. - no tenderness should be present. For Medicare payers, you should: - report 45378 for the colonoscopy. 8%) who underwent laparoscopic curative resection for pathologically proven primary. Left partial colectomy was performed in 20 patients and partial resection of the transverse/descending colon was performed in 7 patients. The evaluation of splenomegaly. . splenic flexure [Flexura coli sinistra, Flexura splenica] linke Dickdarmflexur {f} med. During the procedure, the gastroenterologist counted the number of diverticula in each segment of the colon (cecum, ascending, hepatic flexure, transverse, splenic flexure, descending, and sigmoid colon) and reported the findings to a research. noun. The. Study with Quizlet and memorize flashcards containing terms like At the splenic flexure, the a. Thus, the spleen is situated between the fundus of the stomach and the diaphragm. hepatic flexure. Übersetzung für 'splenic flexure' von Englisch nach Deutsch splenic flexure [Flexura coli sinistra, Flexura splenica] linke Dickdarmflexur {f}anat. 3. It lies at a higher level than, and on a plane posterior to, the right. splenomegaly, important sign though it is nonspecific 12. chest pain. C18. It allows a tension-free anastomosis and a proper exteriorisation of the specimen with the ligated origins of the inferior mesenteric vessels through a minilaparotomy located in the lower abdomen. Objective: At present, surgeons do not know enough about the mesenteric morphology of the colonic splenic flexure, resulting in many problems in the complete mesenteric resection of cancer around the splenic flexure. What is a splenic flexure takedown? Introduction: Take down of the splenic flexure is a crucial part of laparoscopic anterior resection . I does travel about a. splenic disease: Milzkrankheit {f} med. Diagnosis Diarrhea: painless loose or watery stools for at least 75% of stools. 8,9 Only few studies with small sample sizes have demonstrated better short-term outcomes and similar long-term outcomes of left hemicolectomy performed laparoscopically than open. Published on May 10, 2017. The spleen is the most common organ injured following blunt abdominal trauma. . Abdominal trauma is a leading cause of death in children older than 1 year of age. Aims of this study were to assess the clinicopathological characteristics and report operative data. ectopically located or malpositioned spleen. posterior. This answer is:Background: The present study is to set up a standardized approach for complete mobilization of colonic splenic flexure using da Vinci Xi ® robotic system, based on clarification of the mesenteric structures of distal transverse colon. By Thut D, Smolinski S, Morrow M, McCarthy S, Alsina J, Kreychman A, Rakita D. Splenic flexure cancer is relatively rare among colon cancers. 10⁻3. Comparison of the clinicopathological characteristics and survival for the patients with splenic flexure, right-sided colon and SD & S colon cancer. Introduction Splenic flexure mobilization is an integral part of total mesorectal excision (TME) for rectal cancer and for segmental resection of splenic flexure, distal transverse colon, and proximal descending colon neoplasms. The location of the splenic flexure is affected largely by bowel conditions, such as retention of air and faeces in the colon (Fig. Your doctor might mention the involvement of your splenic flexure if you’re experiencing a lot of pain in your upper left abdomen or if. 6% (1-3). Planning colon resection needs to take into account the nature of the lesion and its location within the colon. Extensive Lysis of Adhesions Codes: 44143‐22 ‐Hartmann type Colectomy 44139 ‐Mobilization of Splenic Flexure Rationale: Used a modifier 22 due to the extensive lysis ofMethods: The splenic flexure is located embryologically between the terminal portion of the midgut and the beginning of the hindgut, and is supplied by the superior mesenteric and inferior mesenteric arteries. The reported success rate of percutaneous drainage ranges from 67% to 100%. The main functions of the ____ are churning, peristalsis, storage, and chemical digestion with the enzyme pepsin. 3%). INTRODUCTION. The etiology of this condition is age-dependent, and it can result either from mechanical interruption of the flow of intestinal contents (see the following image) or from dilation of the colon in the absence of an. Robotic surgery provides invaluable assistance in performing splenic flexure colectomy thanks to magnified vision and particularly articulated instruments that facilitate the performance of dissection and intracorporeal anastomosis [4]. 1. ascending colon becomes the descending colon b. 1 Splenic flexure cancers represent about 8% of all colon cancers, yet the optimal oncological resection has not been standardized. C) A transverse fracture of the femoral neck. The spleen is very vascular and reddish purple in color; its size and weight vary. Splenic flexure mobilisation is the primary risk factor for splenic injury during colectomy []. The splenic flexure vein flowed into the inferior mesenteric vein below the level of the inferior border of the pancreas in 58 patients (90. Methods. Paluska et al 1 found incidental splenic. SF carcinoma is often associated with worse long-term survival compared to other colorectal cancer locations because their diagnosis is usually established and identified at a more advanced stage, and SF carcinoma is associated with a higher risk of. The aim of this study was to analyse the short-term outcomes after surgery. [3, 4, 5] Its reported mortality is still high, up to 47%, and has the potential to reach 100% among patients who do not receive antibiotic treatment. As they are relatively uncommon, several surgical alternatives are currently used. Splenic flexure mobilization may be a necessity in many patients to provide adequate reach and prevent tension on the anastomosis. This leads to the formation of the splenic abscess. 1, 2 Many splenic abscesses can be treated adequately without splenectomy. Übersetzung für 'splenic flexure' von Englisch nach Deutsch splenic flexure [Flexura coli sinistra, Flexura splenica] linke Dickdarmflexur {f}anat. 32 ). Given its. 8%. The spleen is an organ shaped like a shoe that lies relative to the 9th and 11th ribs and is located in the left hypochondrium and partly in the epigastrium. Design: This is a multicenter retrospective cohort study. Overview. This syndrome has been recognized as a type of irritable. In general,. 3% of cases. The splenic flexure is a relatively fixed structure owing to the splenocolic ligament which is divided during left hemicolectomy with care to avoid splenic capsular tear. spleen doesn't fit on the screen. The splenic flexure, also known as the left colic flexure, is the sharp bend between the transverse and descending parts of the colon. Although the spleen can descend as far as the pubic symphysis, as seen in mantle cell lymphoma, it normally does not move beyond the left rib arch and so is unavailable for palpation in healthy. 3%). splenic atrophy: Milzatrophie {f} med. Initial presentation was with a non-productive cough, anorexia and general malaise. In this study, the morphology of the mesentery during the mobilization of the colonic splenic flexure was continuously. The Griffiths point, also known as Griffiths critical point, refers to the site of watershed anastomosis between the ascending left colic artery and the marginal artery of Drummond occurring in the region of the splenic flexure. She used nonsteroidal anti-inflammatory medications occasionally. The stability of the camera and the control of the three operating arms by the surgeon are also advantages. Splenic flexure mobilization techniques are associated to effective left colon lengthening for colorectal anastomosis. Objective: This study aimed to establish an expert international consensus on splenic flexure carcinoma management. The oncological resection of colon cancer requires the removal of the colon with an intact mesocolon, performing a complete mesocolic excision. []The low frequency of this diagnosis and the double pathway of blood supply and lymphatic drainage explain why tumours of the SF are rarely included in studies comparing open and laparoscopic surgery, and there is lack of a. Pediatric trauma patients present unique clinical challenges as compared to adults, including different mechanisms of injury, physiologic responses, and indications for operative. Excess gas in the hepatic flexure or splenic flexure of the colon, although in itself not unusual nor necessarily significant, may at times be the explanation for symptoms suggesting cardiac, stomach, gall bladder, kidney or pulmonary disease. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Am J Dig Dis. Background The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. From October 2005 to May 2014 minimally invasive approach was proposed to all pa-tients with histological diagnosis of splenic flexure carcin-Introduction There is no consensus on the optimal surgery for splenic flexure cancers. Subsequent definitive. Although splenic flexure mobilization occasionally looks complicated, it consists of five simple procedures: 1, division of the line of Toldt (dividing the lateral peritoneal attachment); 2, division of the gastrocolic ligament (dividing the greater omentum and transverse colon, then entering the lesser sac); 3, division of the. This topic provides an overview of normal splenic size and function and an approach to evaluating splenic abnormalities in adults. Left untreated, like my case, the splenic flexure can cause what is called a pseudo obstruction in the bowel which can lead to chronic symptoms. . Injury to the left side of the body. Although uncommon in the general population, ischemic colitis occurs with greater frequency in the elderly, and is the most common form of bowel ischemia. 2A) and it may extend below the left kidney and into the pelvis. An AP radiograph of the pelvis reveals that the obturator foramen on the right is considerably smaller than on the left. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. A team of colorectal surgeons at China Medical University Hospital adopted a standardized approach to laparoscopic rectal surgery particularly simplifying the steps involved in. Viewing of the interior of the uterus. A left hemicolectomy includes resection of the transverse colon left of the middle colic vessels to the level of the upper rectum. Twenty percent of the 93 cases. Watershed areas account for about 70% of ischemic colitis. Splenic flexure cancer was defined as a tumor located in the distal third of the transverse colon, or in the left colonic angle, or in the proximal descending colon within 10 cm from the flexure []. 5% of body weight. To the knowledge, this is the first report of VSF occurring in Systemic Lupus Erythematosus (SLE), an autoimmune condition, and the first to be reported in systemic sclerosis. lies posterior and lateral to the tail of the pancreas, fundus, and stomach. CT demonstrated that the splenic flexure of the colon was interposed between the spleen and the left kidney anteriorly and left dome of the diaphragm posteriorly. Study with Quizlet and memorize flashcards containing terms like Another name for Hirschsprung's disease, the most common cause of lower GI obstruction in neonates, is A: intussusception. cardiac sphincter. As such, the differential diagnosis and subsequent management are based primarily on imaging characteristics. Splenic flexure is the area between SMA and IMA supplies, and the rectosigmoid junction is the region between the IMA and the superior rectal artery supplies. Colon cancer is a common disease process in the USA with an estimated yearly incidence of nearly 100,000 patients []. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Splenic flexure colon cancer was defined as a tumor located between the distal third of the transverse colon and the first proximal portion of the descending colon within 10 cm of the splenic flexure. 3 may differ. 2. Practice Essentials. Carcinoma of the splenic angle is consistently one of the rarest of colon carcinomata, that of the descending colon alone being more rare. Surgical and. It is critical to anticipate splenic trauma during colonoscopy as one of the causes of abdominal pain after colonoscopy especially when located in the left upper quadrant or left shoulder. Gas can get trapped within the splenic flexure, causing further pain and discomfort. splen·icA splenic flexure volvulus (SFV) is usually densely attached to its adjacent organs, making it the least common site to develop a colonic volvulus [ 2 ]. constipation. dilated vessels at the hilum. The splenic flexure and sigmoid colon are regions where the circulations of SMA and IMA meet. 5% to 10% of all colon cancers. It’s also the place where many blood vessels come together. It has been demonstrated to be supplied by the inferior mesenteric artery (IMA) via the left colic in 89% of cases and by the superior. Splenic flexure syndrome is a disorder characterized by symptoms including bloating, fullness, and left upper abdominal pain, which are caused by the distended splenic flexure [1,2]. However, from the splenic flexure down through the sigmoid colon, notice how the small bowel is quite thickened with increased fluid in the middle layer and. 05-0. The spleen is very vascular and reddish purple in color; its size and weight vary. Given its rarity, this makes the condition difficult to diagnose, and subsequently result in delays in treatment. 25; p < 0. CT A/P PO and IV contrast showed diffuse colonic wall thickening greatest at splenic flexure, descending, and recto-sigmoid colon with associated para-aortic and mesenteric adenopathy. In this article, we describe the completely robot-assisted splenic flexure colectomy technique with intracorporeal colo-colic stapled anastomosis. [ PMC free article] [ PubMed] [ Google Scholar] PALMER ED, DEUTSCH DL, SCOTT NM. The transverse colon again takes a right-angled turn just below the spleen (left colic or splenic flexure, which is attached to the diaphragm by the phrenocolic ligament) and becomes the descending (left) colon, which lies vertically in the most lateral left part of the abdominal cavity, occupying the left hypochondrium, left lumbar region,. Although splenic flexure mobilization occasionally looks complicated, it consists of five simple procedures: 1, division of the line of Toldt (dividing the lateral peritoneal attachment); 2, division of the gastrocolic ligament (dividing the greater omentum and transverse colon, then entering the lesser sac); 3, division of the splenocolic ligament; 4, division of the. Conclusion Preoperative evaluation of the venous pattern of the splenic flexure on 3‐D CT is useful before complete mesocolic excision with central vascular ligation. Splenic injury is a leading complication caused. fever. The spleen is one of the commonly injured intra-abdominal organs. 3. right hypochondriac region. Background Laparoscopic complete mesocoloic excision (CME) with central vascular ligation for splenic flexure cancer is technically challenging because of its anatomical complexity. n. 15 Additionally, Chilaiditi syndrome has been. Surgical treatment of the transverse colon is difficult because of the many variations of blood vessels. 3. A splenic length – inferior (lateral) edge to superior medial (subdiaphragmatic) aspect – of below 12 cm is generally considered normal, although this is subject to variation in shape and the plane of measurement used. Study with Quizlet and memorize flashcards containing terms like A blockage in the colon where the ascending colon turns to become the transverse colon would occur at the Select one: a. Splenic variants. The patient is placed in lithotomy position with right side. sharp abdominal spasms or cramping. Splenic flexure mobilization is the primary risk factor for splenic injury during colectomy, independent of other factors, such as higher ASA class, Charlson score, and nonelective surgery. Make a fist with your left hand and place it half way down your left rib line just underneath. : pain in the upper left quadrant of the abdomen that may radiate upward to the left shoulder and inner aspect of the left arm and that sometimes mimics angina pectoris but is caused by bloating and gas in the colon. Methods: The surgical outcomes and relevant anatomic structures of 104 consecutive patients undergoing. Splenic hilar LNs dissection: The first step is dissection of the LNs in the inferior pole region of the spleen. stomach. DE/EN ⇄ Übersetzung Deutsch / Englisch ⇄. Uncommonly encountered entities of the spleen include focal. It is NOT approved as a medical device. c. The splenic flexure is a part of your colon, or your large intestine, where it bends near your spleen, an organ that mainly filters your blood. ascending colon becomes the transverse colon c. In the end, we included 10 studies in the meta-analysis. Scott Freathy, MD, CPCSplenomegaly is defined as enlargement of the spleen, measured by size or weight. 6 per cent. Patient and robot set-up. reticuloendothelial. The splenic flexure of the colon is not a common location of primary tumors in patients with a diagnosis of colon cancer. Splenic flexure mobilization may also be part of operations for sigmoid diverticulitis, ischemic colitis, Crohn’s disease,. The techniques used to perform right and. What is the most likely cause of this problem? A) Anatomical variation. The splenic flexure takedown is often the most difficult part of the procedure. Research investigating surgical outcomes of the dVXi has been reported continuously in recent years (Table 5). dict. 9. b. Splenic flexure cancer was defined as a tumor located in the distal third of the transverse colon, or in the left co-lonic angle, or in the proximal descending colon within 10 cm from the flexure [8]. Nakagoe et al. It’s located on the left side of the abdomen. Examination at that time had shown no other cause for the anaemia. Inadvertent intraoperative splenic injury requiring splenectomy is a well recognised and potentially serious complication of colon resection. A surgical procedure that creates an opening into the jejunum is defined as a: 43770. Given the fact that, less than 100 cases have been reported in the literature, this diagnosis is rarely. Postoperative period was uneventful with good. The 2024 edition of ICD-10-CM D12. Many translated example sentences containing "splenic flexure" – German-English dictionary and search engine for German translations. Size and weight vary from person to person but on average, the spleen is around 2. 0%). cc. Splenic flexure mobilization, whether it be open or laparoscopic, is the most demanding part of laparoscopic colorectal surgery with complex technical details. Lymph vessels emerge from hilum, pass through other lymph nodes along course of splenic artery and drain intoThe splenic flexure vein flowed into the inferior mesenteric vein below the level of the inferior border of the pancreas in 58 patients (90. (And then price base on 44213) My opinion is that option 3 is the only viable coding option, but I am open to other suggestions. Study with Quizlet and memorize flashcards containing terms like What is the function division of the GI tract based on?, What is the foregut supplied by and from. Viewing of the interior of the abdominal cavity. X Corpus ID: 42846838; Splenic flexure volvulus presenting as proximal small intestinal obstruction. However, some studies have associated cancer at this tumoral site with a worse prognosis and an increased risk of bowel obstruction [1,2,3], although the results of recent studies seem to discuss this statement []. splenic flexure colectomy and left hemicolectomy (24 (8–90) vs 15 (1–81) vs 16 (3–52), p < 0. Splenic surgery. Splenic flexure volvulus. 7%. splenic fever: Milzbrand {m} anat. The middle colic arteries were reported to arise independently without forming a common trunk in 8. 4%) subjects at the splenic flexure and sigmoid colon, respectively. Increased bowel wall thickness Complex abdominal mass in the splenic flexure Distended fluid-filled loops of bowel Decreased peristaltic motion and more. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality rates. Given the fact that, less than 100 cases have been reported in the literature, this diagnosis is rarely. MAIN OUTCOME MEASURES: We evaluated Clavien-Dindo ≥3 postoperative complications and oncological (number of lymph nodes removed, length of free proximal and distal margins. . Introduction. transverse colon. The gas that is found in the colon is a mix between that which is swallowed and that which the intestine makes. We experienced a SFV case who was a 20. The spleen is a functionally diverse organ with active roles in immunosurveillance and hematopoiesis. The challenge for the surgeon is to connect these two vascular areas in an oncological safe procedure. The liver is the second largest organ weighing around 1500 g, which accounts for 2. 4. Splenic flexure syndrome is a condition that affects the left side of the colon, specifically the area known as the splenic flexure. The combined resection of adjacent organs due to tumor adherence was performed in three patients. Dilatation of the ascending and transverse colon with distal collapse can be seen in both ACPO and chronic colonic pseudo-obstruction. The splenic flexure lies above the hilum of the spleen, regardless of patient demographics 8, and the descending colon runs just ventral or lateral to the left kidney. 1999. cecum appendix r. INTRODUCTION Volvulus of the splenic flexure (VSF) is a rare cause of intestinal obstruction (1). ascending colon becomes the transverse colon c. A disease that. Method This multicenter retrospective study was based on the SFC Study Group database. Background Laparoscopic complete mesocoloic excision (CME) with central vascular ligation for splenic flexure cancer is technically challenging because of its anatomical complexity. Management of malignant left-sided colonic obstruction remains challenging and requires a stoma in 40–65% of patients. flexure synonyms, flexure pronunciation, flexure translation, English dictionary definition of flexure. , tumors located between the distal third of the transverse colon and the first part of the descending colon, account for. 88%), between the hilum and lower pole of the spleen in 12 (8. The splenic flexure is situated next to the spleen and a section of the large intestine or colon. 1046/J. sigmoid colon. Introduction. Internal hernias or adhesions (scar tissue) from surgery may cause bloating or pain. Histological examination revealed absence of ganglionic cells in narrowed segment extending from the splenic flexure to the rectosigmoid junction while the proximal and distal margins showed the normal presence of ganglionic cells—hence diagnosed as a case of adult zonal Hirschsprung disease. The splenic flexure vein flowed into the inferior mesenteric vein below the level of the inferior border of the pancreas in 58 patients (90. -requires manual facilitation. Crosses the abdomen as an arch from right colic (hepatic) flexure to left colic (splenic) flexure where it bends inferiorly. BackgroundThe aim of this study was to compare the short- and long-term outcomes of splenic flexure colectomy (SFC), left hemicolectomy (LHC) and extended left hemicolectomy (ELHC) for splenic flexure colon cancer. Synonym(s): flexura coli sinistra [TA], flexura colica splenica ☆ , splenic flexure ☆1. abdominal or rectal pain. Methods This retrospective cohort study involved 51 patients who underwent laparoscopic surgery for colon cancer at Tokushima University Hospital from July 2015 to December. Introduction. The left colic or splenic flexure is situated at the junction of the transverse and descending parts of the colon, and is in relation with the lower end of the spleen and the tail of the pancreas; the flexure is so acute that the end of the transverse colon usually lies in contact with the front of the descending colon.