Left colic flexure (or splenic flexure) is the bend in the large intestine in the left upper quadrant of the abdomen as the transverse colon continues as the descending colon. After a quick Google search, it appears that pretty much everyone has a splenic flexure - it's a normal part of the colon. It can be caused by injuries, cancer, surgery, or irritable bowel syndrome. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality rates. Splenic Flexure Volvulus By Philip J. At first, his doctors thought he might be suffering from splenic flexure syndrome, in which gas gets trapped in one of the curves of the intestines. 7%) patients and 7 (5%) patients has a splenic flexure that lied below the lower pole of the spleen. A 14-year-old boy with no medical history had severe left upper abdominal pain and. Causes of splenic flexure syndrome. SFV was first reported in 1953 by Glazer and Adlersberg et al. DIAGNOSIS DE SPLENIC FLEXURE SYNDROME. Save Share. Obstructed. Colonoscopy is a diagnostic as well as a therapeutic procedure performed to evaluate the large intestine (i. A colonoscopy was performed, revealing a near-obstructing submucosal mass in the transverse colon near the splenic flexure with a smooth surface and a positive Cushion (Pillow) sign (Figure 2). K63. Do you have excessive gas or flatulence? It could be splenic flexure syndrome. I was reading that some doctors say that Splenic Flexure Syndrome is a type of IBS whereas others say it is a seperate condition. K59. Serrated polyps are a class of colon polyps that have a serrated or saw-toothed appearance under a microscope. I’m absolutely beside myself with anxiety. This technique was associated with a trend towards an increased rate of minor complications, with no difference in major adverse events, including organ space infections. I take 1,000 MSG a day and my gastro continued me on the mag and added linzess 145 mgs a medicine designed specifically for this. Currently there are no standardized techniques for splenic flexure. Acute cholecystitis, or a gallbladder attack, can also cause severe and steady pain in the right ribs. S. It bends all over. Splenic flexure syndrome can often. But I'm a bit concerned this has been the cause of my digestive issue and low grade temp the last 3 years. Symptoms Of Splenic Flexure Syndrome. splenic lymphangioma. S. 8 × 2. It started in the middle of two really stressful days and so common sense tells me it's my IBS in a new. Some HFSA patients have pain on the left side--splenic flexure syndrome (SFS). It causes episodic rectal pain, which is usually attributed to muscle spasms. Due to tight angulation at the splenic flexure, the scope was maneuvered with the aid of external abdominal pressure and by adjusting the patient. Dilatation of the ascending and transverse colon with distal collapse can be seen in both ACPO and chronic colonic pseudo-obstruction. Splenic flexure syndrome may be the cause for pressure on the chest. 1,2 This syndrome The literature suggests that syndrome of the splenic flexure of the colon is more common in elderly women due to gastric sagging, left hydronephrosis, sigmoid colon torsion, or uterine fibroids [2]. 1136/pgmj. It is important to note that the transitional region in pseudo-obstruction tends to be at or near the splenic flexure . Treatment options are discussed. Ulcerative colitis is a type of inflammatory bowel disease. Overview of Splenic Flexure Syndrome Pain in the left upper abdomen may in some cases result from distension or spasm of the splenic flexure of the colon. 89 - other international versions of ICD-10 K59. Gas, because it tends to rise, usually forms pockets under the splenic flexure, which is the highest portion of the colon in the upright position. splenic flexure syndrome noun : pain in the upper left quadrant of the abdomen that may radiate upward to the left shoulder and inner aspect of the left arm. Synonym(s): lienal , splenetic (1)This is the first report of splenic flexure volvulus in which posture advice was effective. Created for people with ongoing healthcare needs but benefits everyone. Postgrad Med J. Ogilvie Syndrome. A curve, turn, or fold, such as a bend in a tubular organ: a flexure of the colon. SLCS characteristically presents a sudden change in the colonic diameter proximal to the splenic flexure. Small left colon is characterized by a small left colon with an abrupt change in the caliper of the colon, usually at the splenic flexure (Fig. Splenic-flexure syndrome In medicine, splenic-flexure syndrome is a chronic disorder that seems to be caused by trapped gas at bends (flexures) in the colon. Splenic flexure syndrome is a condition that causes gas to become trapped inside flexures — or curves — within your colon. Inokuchi T. If the gas build-up too much, you can get “splenic flexure syndrome”. This syndrome has been recognized as a type of. Ser capaz de identificar las causas de SFS será de gran ayuda para evitar que el sistema digestivo se agrave aún más. Patients frequently report increased amounts of bloating and gas. Left colic flexure (or splenic flexure) is the bend in the large intestine in the left upper quadrant of the abdomen as the transverse colon continues as the descending colon. 89 may differ. Pathology revealed nonspecific mucosal inflammatory changes, without ulcers or granulomas. Hepatic flexure polyp. The splenic flexure is the junction between the transverse colon and the descending colon and is usually the most cranial portion of the colon. Takedown and resection of the splenic flexure is followed by an anastomosis between the ileum and the upper descending colon, with the distal limb of the anastomosis dependent on blood supply from the left colic artery. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. Background: Splenic flexure mobilization (SFM) increases left colonic reach for a better vascularized and tension-free anastomosis. The factors associated with splenic injury include difficulty intubating, looping of the instrument, traction on the splenocolic ligament, adhesions between the colon and spleen, and presence of a large polyp or mass at the splenic flexure. This rare condition may occur as a complication of an underlying severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia. The splenic flexure can appear as a dead end and, if the turn is negotiated, the triangular shape to the transverse colon. Watershed areas account for about 70% of. Splenic Flexure. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. As is the case for you, large hiatal hernias can involve other abdominal organs, such as the colon, that then migrate into the chest along with the stomach. Procedural difficulties particularly around the splenic flexure, transmural colonic burns, and over-insufflation of the colon may increase the risk of pancreatitis. We describe the case of SFV diagnosed and treated laparoscopically in the non-volvulus condition. Connect with a U. Spleen Injury – The spleen becomes swollen and irritated due to blunt force trauma and other types of physical injury. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. 2011. It is possible for excessive gas to get entrapped at the bends of the colon, or flexures, leading to a disorder called a splenic-flexure syndrome. It is important to note that the transitional region in pseudo-obstruction tends to be at or near the splenic flexure . This is where gas gets confined and produces an irritable bowel syndrome in the colon near the splenic flexure. Splenic flexure syndrome is a condition where gas builds up in the colon near your spleen, causing abdominal pain and bloating. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. They gave him charcoal pills and simethicone, which reduced the gas for a. Other health issues that may cause abdominal bloating include: Splenic-flexure syndromes, a chronic disorder that may be caused by gas trapped at bends in the colon. This splenic flexure syndrome is demonstrable by balloon inflation in the splenic flexure and should be considered in the differential of chest or left upper quadrant abdominal pain. Corpus ID: 75950487. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. (1,2) The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Although uncommon in the general population, ischemic colitis occurs with greater frequency in the elderly, and is the most common form of bowel ischemia. Cecal perforation, mesentery ischemia, peritonitis, and subdiaphragmatic appendicitis have also been reported as complications of this condition and require. adj. Levator syndrome is named for the levator ani muscle that holds your rectum in place. This syndrome has been recognized as a type of. Splenic injury is an extremely rare, yet serious, complication related to colonoscopy. Sometimes just part of your spleen can be removed, which is called a partial splenectomy. Cecal perforation, mesentery ischemia, peritonitis, and subdiaphragmatic appendicitis have also been reported as complications of this condition and require emergency surgery. The distal colon extends from the rectum up the colon and stops at the splenic flexure, which is the point where the colon bends. It lies more cranial than the right colic. Introduction: Syndrome of the splenic flexure of the colon is caused by congenital splenic colon curva-ture with excessively high fixed points, a lengthy transverse colon, and a narrow splenic. Toggle navigation eHealth Me. Fig. Extended right or left hemicolectomy are the most common surgical treatments for splenic flexure colon cancer. TREATMENT OPTIONS. 89 should only be used for claims with a date of service on or before September 30, 2015. 89 became effective on October 1, 2023. S1). Areas of the colon most sensitive to decreased blood flow and more likely to suffer from ischemia are the splenic flexure (Griffiths point) and sigmoid colon (Sudek's point). Today. Often this happens after eating a meal. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases. Connect with a U. It is close to the spleen, hence the name. At the splenic flexure, there is an acute transition to dilated proximal bowel. This topic provides an overview of normal splenic size and function and an approach to evaluating splenic abnormalities in adults. Ultrasound is considered to be the diagnostic imaging modality of choice for assessing the feline spleen, enabling splenic contour, size and parenchymal echogenicity and echotexture to be evaluated. an air-fluid level with splenocolic fistula was found on CT scan imaging. 7% vs 19. . Similarly to other colon cancer sites, the resected area must encompass the mesocolon. Splenic flexure mobilization may be a necessity in many patients to provide adequate reach and prevent tension on the anastomosis. It may sometimes be more appropriate to have just part of your spleen removed – a partial splenectomy. , in pancreatic cancer or due to antiphospholipid syndrome) Hematologic disorders (e. 1965 Mar;41(473):148-50. Diarrhea in the morning. , it was found that the median interval from the onset of acute pancreatitis to colonic perforation was 13 days, ranging from 6 to 47 days. It is also called the left colic flexure. do not exercise regularly. CT scan is the gold standard test in cases of splenic volvulus 7-10. This is the American ICD-10-CM version of D12. Splenic flexure syndrome is where gas becomes trapped at the left bend of the colon causing fullness, discomfort and even pain. 2. 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. is associated with Lynch syndrome; has a higher occurence of mucinous tumors, BRAF-mt or KRAS. Splenic flexure syndrome is where gas becomes trapped at the left bend of the colon causing fullness, discomfort and even pain. Colon care, a great deal of cooked veggies and gas-x when needed may also lessen symptoms. Splenic or Hepatic Flexure Syndrome. The male-to-female ratio is 2:1. The distal colon extends from the rectum up the colon and stops at the splenic flexure, which is the point where the colon bends. When I burp (which seems so often now that i have gerd), it feels like the air is trapped in my hernia and my stomach feels sick so. Leukemia, a cancer in which white blood cells displace normal blood cells. 10–12Abstract. Splenic-flexure syndrome often accompanies IBS. I am taking Protonix for it but I really feel sick all of the time. He was again admitted 2 months later for intestinal obstruction. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the. Splenic Flexure Syndrome. Adjunctive therapy for neurogenic bladder and bowel disturbances, including splenic flexure syndrome and neurogenic colon; Anticholinesterase poisoning; As a "drying agent" for acute rhinitis symptoms; Control gastric secretion, visceral spasm and hypermotility in spastic colon or bladder, cystitis, pylorospasm, and associated. Splenomegaly – This is when the spleen becomes swollen and enlarged due to an infection or other reasons. Introduction. Esto se debe principalmente a la mayor cantidad de gas en el ángulo esplénico. 32 ). How to say splenic flexure in English? Pronunciation of splenic flexure with 3 audio pronunciations, 1 meaning, 13 translations and more for splenic flexure. colic flexure, left the angular junction of the transverse and descending. The pain corresponds most to clinical criteria of irritable colon syndrome diagnosis and is accompanied with reduced threshold of pain sensitivity to balloon extension. cervical flexure a bend in the neural tube of the embryo at the junction of the brain and spinal cord. Acute colonic pseudo-obstruction (ACPO), known as Ogilvie syndrome, is a distinct form of colonic dilatation without evidence of underlying mechanical or anatomic cause. Reply Report. Colorectal cancer (CRC) is one of the most common gastrointestinal malignancies (). It lies more cranial than the right colic. Surgery is an option to treat volvulus and stop the intestine from twisting again. Colon care, a great deal of cooked veggies and gas-x when needed may also lessen symptoms. The Splenic Flexure Syndrome - PMC. This is the American ICD-10-CM version of D73. Senior Registrar Internal M. Abscess and infarction - Risk factors and. 4. Splenomegaly – This is when the spleen becomes swollen and enlarged due to an infection or other reasons. The exact location of the pain is at the splenic. A:The hepatic flexure, also known as the right colic flexure, is found in the digestive system of the human body. For the present analysis, SFC patients were selected if. La hinchazón también se observa como el signo más frecuente del síndrome del ángulo. I. The aim of the study was to evaluate splenic glucose metabolism in macrophage activation syndrome (MAS), characterized by overwhelming systemic inflammation. Over time, aneurysms may grow. 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 . 12 All the colonic perforations were confirmed by laparotomy,. A ruptured spleen is typically caused by a blow to the left upper stomach or the left lower chest, such as might happen during sporting accidents, fistfights and car crashes. Do you have excessive gas or flatulence? It could be splenic flexure syndrome. This is the American ICD-10-CM version of C18. 8. Obstruction of the splenic artery or its branches → splenic infarction; Associated risk factors include: Hypercoagulable states (e. To improve patient outcome, a right-sided colonic decompression tube is placed during colonoscopy to allow gas and fluid to evacuate the area most severely affected by Ogilvie’s syndrome (the cecum to the splenic flexure). 4. Hepatodiaphragmatic interposition of the intestine, or Chilaiditi syndrome, is uncommon and typically asymptomatic, but it can be associated with symptoms ranging from intermittent, mild abdominal pain to acute intestinal obstruction. 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 ]. 41. 4. Pneumomediastinum is a rare complication among non-coronavirus patients but has been published with increased incidence in patients positive for SARS-CoV-2 infection. The Chinese have recognized this condition and regularly treat it with surgery to remove this small bend in the colon. Cancer of the splenic flexure is defined as colon cancer situated between the distal third of the. The hepatic flexure or right colic separates the ascending from the transverse colon and the splenic flexure or left colic separates the transverse and the descending colon. PMID: 14266688 PMCID: PMC2482946 DOI: 10. 1136/pgmj. Overthinkingnotdrinking · 26/01/2023 16:22. CT has become the most important imaging technique for evaluating the abdomen and pelvis. A common symptom of splenic flexure syndrome is the pain and discomfort that you experience in the upper left abdominal area. Higher rates of mechanical ventilation are. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Not exactly: Splenic flexure syndrome is a term used to describe bloating, muscle spasms of the colon, and upper abdominal discomfort thought to be caused by trapped gas at the splenic (on the left side) flexure in the colon. Increased splenocolic adhesions, splenomegaly or. The splenic flexure is part of the colon near the spleen and gas accumuates there as it sits high in the abdomen. The axial abdominal computed tomogram shows a shouldered colonic stricture at the hepatic flexure (fig 2 ⇓). The kink can cause partially obstructed bowel movements and may also trap gas and fluid in the. In order to demonstrate the different approaches, a balloon was placed through the colonic hepatic flexure in the lesser sac without sectioning any of the fixing ligaments of the splenic flexure. eHealth Me Start your phase IV clinical trial. Accompanying these anomalies, there may be fever, bloating, abdominal cramping, or spasms of the colon. , Morita T. 1 The head of the spleen is located caudolateral to the gastric fundus, to which it is attached by the short gastro. Dr. Benign neoplasm of hepatic flexure. A total of 1,635 polyps were detected of which 42% were serrated and 13% of those were proximal to the splenic flexure. Crohn's disease , colon cancer , or any disease that causes intestinal obstruction, may also cause abdominal bloating. splenicterus: (splē-nĭk′tĕr-ŭs) [Gr. Splenic Flexure Syndrome. When the pain occurs over the hepatic flexure, gall-bladder disease is often suspected; when over the transverse colon, a peptic ulcer, and when over the splenic flexure, disease of the heart, oesophagus. In about half of those patients in whom the spontaneous right upper quadrant pain. " by C. Pancolitis refers to disease that extends proximally to the splenic flexure. PubMed. thought splenic flexure syndrome, but not gassy. Splenic flexure volvulus is a rare but serious cause of large bowel obstruction. 89 became effective on October 1, 2023. The splenic flexure was above the hilum of the spleen in 95 patients (67. It is near the liver. splenic pseudocyst. Spasm at the splenic flexure in a normal colon may mimic a fixed narrowing . The main symptom of splenic flexure syndrome is abdominal pain. Surgery to remove the spleen. Splenectomy (having the spleen removed) An operation to remove the spleen, known as a splenectomy, may be needed if the spleen is damaged, diseased or enlarged. The spasms are located in the splenic flexure, which is found in the colon that runs in between the transverse colon and the descending colon. Trapped Air in the Colon (Splenic Flexure Syndrome) In constipation and other causes of bloating and gas, like lactose intolerance , fructose malabsorption , celiac disease or IBS , gas may be trapped in the part of the colon running near the spleen and cause “splenic flexure syndrome”: LUQ pain, aggravated by eating and relieved by passing. Spasm at the splenic flexure in a normal colon may mimic a fixed narrowing . The diagnosis of this cancer is often late, in an. C18. Long post to ask a shirt question - Anyone have or heard of this Splenic Flexure Syndrome? comments sorted by Best Top New Controversial Q&A Add a Comment goldstandardalmonds Here to help! • Additional comment actions. 32 ). The spleen has the same relationship to the circulatory system that the lymph nodes have to the lymphatic system. Splenic steal syndrome is a controversial diagnosis of hepatic artery hypoperfusion and may represent an underrecognized cause of graft ischemia in the United States. Direct invasion into adjacent organs will cause atypical presentation of this condition, which will usually happen at an advanced stage of the disease. Learn how we can help. . Passage of gas or stool may somehow. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. contrast-enhanced CT demonstrates a low-density spleen. Resting patterns of motility. 2,204 satisfied customers. Leukemia, a cancer in which white blood cells displace normal blood cells. Splenic flexure syndrome diet. The evaluation of splenomegaly in children and considerations related to elective or traumatic splenectomy are discussed separately. These disorders can make you feel bloated, even when you are not. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Symptoms. Injuries to the colon near the splenic flexure can cause blood loss or low blood pressure. Alternating. splenic flexure syndrome. The 2024 edition of ICD-10-CM C18. Medical history, physical examination, X-ray can be help in. Splenic Flexure Volvulus (SFV) is rare and accounts for only 1-2% of all colonic volvulus, with approximately 50 cases being described in the literature. Twenty percent of the 93 cases. , Seyama A. It is most commonly encountered in older. splenomegaly, important sign though it is nonspecific 12. I'm a 27 year old female and have had symptoms since I was 14. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. 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. It relaxes the colon so that the. Splenic flexure: This is the sharp bend between the transverse colon and the descending colon. Splenic infarction [1] Definition: ischemic injury to the spleen that results in tissue necrosis; Pathophysiology. Other symptoms of splenic. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. A person with a first. The splenic flexure is a sharp bend between your transverse colon and more… Refeeding Syndrome Definition This is a medical condition where an individual has endured a considerably long period of starvation. 52 vs 2. As a result, pressure can build on surrounding organs causing pain and discomfort. v. board-certified doctor by text or video anytime, anywhere. Semantic Scholar extracted view of "Splenic flexure volvulus presenting as proximal small intestinal obstruction. El Splenic Flexure Syndrome es sintomático, lo que significa que los alérgenos desencadenarán los síntomas, lo que causa dolor e incomodidad al individuo. ”. In patients undergoing sigmoidectomy or low anterior resection (LAR), splenic flexure mobilization (SFM) frees the descending and distal transverse colon from their respective attachments such that the descending colon will reach into the pelvis for a tension free anastomosis. Sessile serrated lesions represent 3% to 9% of all serrated polyps, are flat and most frequently found proximately to the splenic flexure . caudal flexure the bend at the aboral end of the embryo. colic flexure. The evaluation of splenomegaly in children and considerations related to elective or traumatic splenectomy are discussed separately. The presence of hepatodiaphragmatic interposition of the intestine requires no specific treatment in the absence of symptoms and is reported only the third case of colonic volvulus in association with Chilaiditi syndrome and the first withvolvulus of the splenic flexure. Methods To analyze…. An enlarged spleen. Of, in, near, or relating to the spleen. The spleen is a dark-purple, bean-shaped organ located in the upper left side of the abdomen, just behind the bottom of the rib cage. Intrapancreatic accessory spleen (IPAS) may mimic pancreatic neoplasms, but requires no further treatment. Do you have excessive gas or flatulence? It could be splenic flexure syndrome. Similar symptoms caused by ordinary gas attacks are relieved by passing gas by mouth or by rectum. splenic flexure syndrome: symptoms of pain, gas, bloating, a sense of fullness experienced in the left upper abdominal quadrant, sometimes beneath the ribs, in some instances radiating upward, and in some instances producing anterior chest pain central or predominantly on the left. Other Codes Used Similar Conditions. The vagus nerve provides parasympathetic nerve fibers to the entire abdomen proximal to a point approximated by the splenic flexure of the colon . We use a fully robotic single, side-docking technique, which means we do not have to dock the robot twice for splenic-flexure mobilization. The large intestine bends at two points located under the rib cage. In none of these 22 patients could spontaneous right upperquadrant pain be reproduced by balloon distension of the oesophagus or the left colon distal to the splenic flexure. splenic: ( splen'ik ), Relating to the spleen. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. Long answer. It is most commonly encountered in older adults with. I'm doing a bit of googling which is always fatal. The watershed zones include the splenic flexure or Griffith’s point,. sclerosing angiomatoid nodular transformation (SANT): fibrosing variant of hamartoma. One can take a mild. 1, 2 The spleen is also a major producer. e. PMC2482946. When the pain occurs over the hepatic flexure, gall-bladder disease is often suspected; when over the transverse colon, a peptic ulcer, and when over the splenic flexure, disease of the heart, oesophagus. Levator syndrome. Wajid. Walk the hands further up the back for stability. [1] It occurs relatively commonly in healthy infants (1 in 500 live births). The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. ( 4) Fecal impaction has a possibility of becoming dangerous if left untreated. This study aims to compare the perioperative and long-term outcomes of different alternatives for emergency SFC resection. I never heard of "splenic flexure syndrome" and have been seen by a lot of internists, gastroenterologists, and colorectal surgeons (looking at surgery), my symptoms are localized to the LUQ, too, one wonders whether or not Beano and Gas-X would be digested by the time that they reach the splenic flexure, Symptoms may include: Belching. Incomplete volvulus of the splenic flexure is a cause of recurrent abdominal pain, but. Have been referred today for tests for everything under the sun, ovarian cancer, coeliacs, ultrasound, fecal test, blood tests. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. While some people experience no symptoms, others have gastrointestinal issues due to their redundant colon. This is the first report of splenic flexure volvulus in which. This is caused by gas and known as ‘Splenic flexure syndrome’. Splenic flexure syndrome occurs when gas builds up or becomes trapped in your colon. When one of these is. A 14-year-old boy with no medical history had severe left upper abdominal. Splenic flexure syndrome. A number of situations can cause the likelihood of having splenic flexure syndrome including food, poisoning, air and disease. Here we report a case of a child with syndrome of the splenic flexure of the colon. Acute colonic pseudo-obstruction (ACPO), known as Ogilvie syndrome, is a distinct form of colonic dilatation without evidence of underlying mechanical or anatomic cause. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. Most hamartomas are a mixture. Splenic flexure volvulus (SFV) is a rare condition of colonic obstruction. THE SPLENIC FLEXURE SYNDROME. Routine laboratory studies were within normal limits. The spleen is a hematopoietic organ that filters and removes aging blood products and aids in immunity against incapsulated bacterial organisms. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. 5 may differ. 3 - other international versions of ICD-10 D12. Obstructed. Intestinal pseudo-obstruction is a rare condition. The. Medial approach to the desc.