72 in) and weighing about 150 g to 200 g (about 5. Injury occurs because of the close proximity of the colon to the spleen [ 2 ]. Splenic flexure cancer. Splenic flexure syndrome is a chronic disorder producing symptoms of pain that are caused by trapped gas in the bends of the colon or splenic flexure. Background: Given the importance of operative documentation, we reviewed operative notes for surgeries that required splenic flexure mobilization (SFM) to determine their accuracy. Background and objectives: Tumors of the splenic flexure (TSF) can be associated with metastatic lymph nodes (LN) along the left colic pedicle, but also along the superior mesenteric vessels. Colon cancer is a common disease process in the USA with an estimated yearly incidence of nearly 100,000 patients []. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. A: Hepatic flexure B: Splenic flexure C: Sigmoid colon D: Ileocecal valve and more. Splenic flexure mobilization, whether it be open or laparoscopic, is the most demanding part of laparoscopic colorectal surgery with complex technical details. splenic artery <SA> [Arteria splenica] Milzarterie {f} med. The aim of this study is to evaluate the lymph flow at the splenic flexure. We conducted a retrospective review of 27 patients with splenic flexure cancer who underwent curative resection. 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). The ligament over-traction is the most frequent damage mechanism. The occurrence in the splenic flexure of the colon is very rare . The accessory middle colic artery. The aim of this study is to evaluate the lymph flow at the splenic flexure. 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 ]. – Mobilization of the splenic flexure – Division of the bowel proximally (sigmoid or recto‐sigmoid junction or proximal rectum) – Takedown of the mesentery and mesorectum (including lymph nodes) – Division of the rectum distally (rectum or anorectal junction) 15 Low Anterior ResectionMobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) $ 127 44140 Colectomy, partial; with anastomosis $ 1,410 44141 Colectomy, partial; with skin level cecostomy or colostomy $. It is close to the spleen, hence the name. 2) Mobilization of the splenic flexure . colic flexure, left the angular junction of the transverse and descending colon. 5% of body weight. d. Small splenunculi (<1 cm) may appear hypodense compared. The meaning of SPLENIC FLEXURE is the sharp bend of the colon under the spleen where the transverse colon joins the descending colon —called also left colic. Übersetzung für 'splenic flexure' von Englisch nach Deutsch splenic flexure [Flexura coli sinistra, Flexura splenica] linke Dickdarmflexur {f}anat. An injured spleen can rupture soon after the stomach trauma or, in some cases, days or weeks after the injury. The splenic flexure vein joined the inferior mesenteric vein in 62 patients (93. small bowel mesentery. Intraoperative, pathologic and postoperative data from patients undergoing laparoscopic. 6%) and above it in 4 patients (6. splenic disease: Milzerkrankung {f} med. . It’s also the place where many blood vessels come together. Such drainage preserves the. The diagnosis of splenic flexure colon. By. Use of the dVXi may result in shorter operative time, less estimated blood loss, and faster postoperative recovery than its predecessor, the da. n. Thus, the spleen is situated between the fundus of the stomach and the diaphragm. The feeder pattern of the splenic flexure. Methods. nausea. In this form of ulcerative colitis, inflammation stretches from your rectum to your splenic flexure. Mucosal ulcer in stomach or duodenum >5mm, covered w/ fibrin, extending through the muscularis mucosa; H. Comparison of the clinicopathological characteristics and survival for the patients with splenic flexure, right-sided colon and SD & S colon cancer. Discussion. Right lower quadrant contains the following structures. left hypochondriac region. Splenic flexure mobilization may be a necessity in many patients to provide adequate reach and prevent tension on the anastomosis. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. Splenic flexure. All three cancer types were found to be similar in terms of the. This is because of various factors, namely that the splenic flexure tends to be high up in the abdomen. The splenic flexure, the highest-reaching segment of the co-lon, may become distended as the gas rises to fill it. She used nonsteroidal anti-inflammatory medications occasionally. left colic flexure: [TA] the bend at the junction of the transverse and descending colon. D) Patient was rotated toward the left side. Thrombocytopenia is when you have a low. descending colon becomes the sigmoid colon, Which of the following is an extension of the peritoneum? a. splenic function: Milzfunktion {f}What is the splenic flexure takedown? Splenic flexure mobilization is arguably the most dangerous maneuver that colorectal surgeons perform. In this medical problem, trapped gas builds up in the splenic flexure which is only a location, the area where the transverse colon (which more or less runs "horizontally" in the upper ab from right side of body to left side running below the lowest bilateral rib and the diaphragm) joins the descending colon which is on the left side of the. THE EFFECT OF MORPHINE IN DIVERTICULOSIS OF THE COLON. 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. flexure synonyms, flexure pronunciation, flexure translation, English dictionary definition of flexure. This leads to the formation of the splenic abscess. Internal hernias or adhesions (scar tissue) from surgery may cause bloating or pain. The aim of this work is to describe the feasibility of performing laparoscopic D3 resection in SFC and its impact on long-term survival. , A cell needs a receptor in order to absorb LDL's. Many translated example sentences containing "splenic flexure" – German-English dictionary and search engine for German translations. 02; 95% CI 1. The spleen is very vascular and reddish purple in color; its size and weight vary. Most anatomy texts describe the location as two-thirds along the transverse colon. Conclusion. Surgeons need to be facile and familiar with several approaches (Fig. Spleen Injury – The spleen becomes swollen and irritated due to blunt force trauma and other types of physical injury. This provides one theory as to why mobilising the splenic flexure may be more difficult in male patients. How does a bulls penis extend from copulation?midclavicular line (L) hypogastric (pubic) region. 4. An enlarged spleen. 3. Mit Flexionstabellen der verschiedenen Fälle und Zeiten Aussprache und relevante Diskussionen Kostenloser Vokabeltrainer dict. Abstract. Figure 1. ascending colon becomes the descending colon b. tine splenic flexure mobilization; however, they believe that the morbidity and mortality that result from anastomotic complications prevail over the associated risks. This study aimed to classify the splenic flexure based on the three-dimensional (3D) coordinates of the splenic hilum and left renal hilum. 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 . Cause of splenic congestion: portal or splenic vein obstruction (possibly due to cirrhosis) Abscess vs Hematoma. stomach. We retrospectively compared the postoperative, pathological and. 7%. The goal of this study was to compare lymph node harvest and post-operative morbidity between segmental resection and formal left hemicolectomy for splenic flexure colon cancers. This is the point where the colon makes a sharp bend near the spleen. 9% of the 1244 colon tumors operated in our center in the past 14 years []. Introduction. IMAIOS DICOM Viewer has not been tested or certified for clinical use. Abstract. With the increasing use of colonoscopy, endoscopists, surgeons and radiologists are more likely to encounter this unusual complication. The rate of stage III disease and the number of patients treated by adjuvant chemotherapy were similar between the 3 groups. 29 oz to 7. fever. 9. This maneuver aims to ensure a tension-free and well-perfused length of colon to be attached at the anastomosis, allowing an adequate. Purpose The treatment of splenic flexural colon cancer is not standardized because the lymphatic drainage is variable. The descending colon lies on the posterior abdominal. It lies more cranial than the right colic. Setting: The first round included 18. Methods From July 2013 to January 2016, consecutive patients of the splenic flexural colon cancer with a preoperative diagnosis of N0 who underwent. 7%) patients and 7 (5%) patients has a splenic flexure that lied below the lower pole of the spleen. gastric flexure. 2 These factors lead to capsular avulsions and lacerations of the spleen. 8%) who underwent laparoscopic curative resection for pathologically proven primary. The high anatomical position of the splenic curvature causes an acute. Objective: This study aimed to establish an expert international consensus on splenic flexure carcinoma management. The Right Lower Quadrant Contains: Cecum Appendix Ascending Colon Right ovary and Fallopian tube Right ureter. The 2024 edition of ICD-10-CM D12. This group of patients corresponds to 3. Patient Positioning for Laparoscopic Splenic Flexure. Purpose: The treatment of splenic flexural colon cancer is not standardized because the lymphatic drainage is variable. 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. 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. This is the American ICD-10-CM version of D12. cc. The applicability of laparoscopic D3 oncological resection for splenic flexure cancer (SFC) surgery has not been fully explored due to technical difficulties and variations in surgical procedure. Chapter 11 Procedure: Colectomy with a take-down of splenic flexure. colic flexure, left the angular junction of the transverse and descending. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Figure 2. Lower half of right kidneyex. 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. We searched the PubMed database for studies on the vascular anatomy of the splenic flexure that were published from January 1990 to October 2020. - inferior 1/3rd: smooth muscles. The. 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. 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. The diagnosis and prompt management of potentially life-threatening hemorrhage is the primary goal. INTRODUCTION. Spleen size and shape are both highly variable, with a gradual age-related decrease in volume. Of the locations that colon cancer can develop, splenic flexure cancer (SFC), defined by most studies as cancer located in the distal third of the transverse colon to proximal 10 cm of the descending colon, is a rare entity. Occlusion. 17. Splenic flexure syndrome is a gastro-intestinal condition that is caused due to entrapment of air or gas in the splenic flexure causing pain and tenderness particularly over the upper left portion of the abdomen. Recent improvements in surgical techniques for colonic cancer have focused more on the mesentery than the colon itself 1. location of the spleen. transverse colon becomes the descending colon d. | Alle SprachenThe 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. A disease that. The dVXi is also flexible in the complete mobilization of the colonic splenic flexure. Planning colon resection needs to take into account the nature of the lesion and its location within the colon. The splenic vein continues to enter the superior mesenteric. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. The surgical approach has yet to be standardized. However, tumors located in the descending colon, splenic flexure, or distal transverse colon account for only 7. 3%). Inadvertent intraoperative splenic injury requiring splenectomy is a well recognised and potentially serious complication of colon resection. The patient is placed in lithotomy position with right side. It’s situated close to the. It is also called the left colic flexure. Last updated November 16, 2023. Increased splenocolic adhesions, splenomegaly or. The splenic flexure, also known as the left colic flexure, is the sharp bend between the transverse and descending parts of the colon. e. Consequently, the mesenteric vascular anatomy is an area of interest to colorectal cancer surgeons. Among the different laparoscopic colorectal surgical procedures which are commonly performed, splenic flexure mobilization (e. 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. 6%) and 13 (22. The acuteness of the angle of the splenic flexure may be one of the reasons why trapped gas may occur more commonly at this flexure. If the colon does not reach the anterior abdominal wall in a tension free manner for colostomy creation, splenic flexure mobilization may be necessary. Benign splenic vascular neoplasms include hemangioma, hamartoma, lymphangioma, extra-medullary hematopoiesis (EMH), and sclerosing angiomatoid nodular transformation (SANT). In the meantime I am somewhat nervous about what this all means. Splenic injury — The operative risk of splenic injury ranges from 0. Its inferior margin becomes rounded ( Figs 6. By Thut D, Smolinski S, Morrow M, McCarthy S, Alsina J, Kreychman A, Rakita D. ileocecal valve. 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. My doctor said I had IBS and made no mention of IBD. vaginam for two weeks. 6. Splenic collection due to fistula from splenic flexure tumour. Viewing of the interior of the abdominal cavity. Introduction: Fewer than 10% of colon cancers are found at the splenic flexure. 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. reticuloendothelial. spleen extends past mid left kidney. [ 3, 4, 5] Its reported mortality is still high, up to 47%, and has the. stomach, spleen, left lobe of liver, body of pancreas, left kidney and adrenal, splenic flexure of colon, part of transverse and descending colon. As they are relatively uncommon, several surgical alternatives are currently used. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. Gas may build up in this area for many reasons, including possible aspects of a person. Prolapse frequently occurs due to the length of the transverse colon. 7%. American Heritage® Dictionary of the English Language, Fifth Edition. The splenic flexure is the name of a bend in the colon, near your spleen. Colon cancer is a common disease process in the USA with an estimated yearly incidence of nearly 100,000 patients []. This retrospective study was performed to determine the amount of colonic redundancy that can be expected by SFM. lies posterior and lateral to the tail of the pancreas, fundus, and stomach. 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. Its vascularity, location, and functions make the spleen susceptible to several conditions that may be challenging to evaluate and treat. For the present analysis, SFC patients were selected if. Anecdotally, surgeons claim that mobilising the splenic flexure is more difficult in male patients. A healthy. The location of the splenic flexure is affected largely by bowel conditions, such as retention of air and faeces in the colon (Fig. Splenic injury during colectomy has an increased risk of death in both the short-. Early imaging with MRI in the case of pregnancy is indicated and early surgical intervention once the diagnosis is established. The spleen enlarges downwards and medially. In this article, we describe the completely robot-assisted splenic flexure colectomy technique with intracorporeal colo-colic stapled anastomosis. 2a). D12. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. So far, less than 80 cases have been reported worldwide since 1970. Furthermore the more solid consistency of stool in the descending colon hampers gas movement which is another factor for the frequency of trapped gas in. Iatrogenic splenectomy is associated with significant morbidity and mortality, including bleeding and. 32 ). 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. 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. 02), however the length of hospital stay is shorter by 0. Splenic Flexure Volvulus: Rarest Type of Colonic Volvulus, Report of a Case : Indian Journal of Colo-Rectal SurgerySome of the symptoms associated with splenic flexure syndrome can include: Colon spasms, which are involuntary and are often extremely painful contractions of your lower digestive tract. - Middle 1/3rd: striated and smooth muscles. Background There is ongoing debate regarding surgical treatment of splenic flexure cancer. When this area becomes irritated or inflamed, it can lead to a variety of symptoms that can affect a person’s daily life. In our experience, resections of splenic flexure cancer were performed in 48 cases only, which accounted for 3. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. 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]. Methods: The National Cancer Database was queried for patients with non-metastatic colon. 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. Aim: The optimal surgical treatment of splenic flexure neoplasm is still not well defined. appendix. c. Copy. 2. Examination at that time had shown no other cause for the anaemia. Increased bowel wall thickness Complex abdominal mass in the splenic flexure Distended fluid-filled loops of bowel Decreased peristaltic motion and more. Activity restriction may be suggested for 4–6 weeks in minor injuries and up to 2–4 months in moderate and severe injuries (GoR 2C). Presently, it is acknowledged that laparoscopic colectomy for left sided. Ischemic colitis (also spelled ischaemic colitis) is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. belching. True/False. It is soft, highly vascular and dark purple in color. location in regards to the pancreas, stomach, splenic flexture. The day of the colonoscopy, a research assistant measured the participant’s height and weight. Patient and robot set-up. 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. Study with Quizlet and memorize flashcards containing terms like At the splenic flexure, the a. 4. 일반적으로 공기는 정상적으로 장관 내에. noun. In our case, the mother kept repeating: ‘it is the toothpick!’ Most patients consult for an abdominal pain, usually non-specific and often misleading [2, 3Ligament between the spleen and the splenic flexure of the colon. Clinical Case 2. The descending colon lies on the posterior abdominal. @article{Hajivassiliou1999SplenicFV, title={Splenic flexure volvulus presenting as proximal small intestinal obstruction. It cannot be used for primary diagnosis in medical imaging. It is important to note that the transitional region in pseudo-obstruction tends to be at or near the splenic flexure . INTRODUCTION. (1,2)The treatment of colon cancer located in splenic flexure is not standardized. S1). g. We aimed to detail the anatomical distribution of metastatic LNs in patients undergoing elective subtotal colectomy for TSF. 5 cm broad and 12 cm in length. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. The splenic flexure vein flowed into the inferior mesenteric vein below the level of the inferior border of the pancreas in 58 patients (90. Extended right hemicolectomy (ERH) and left colic resection (LCR) have been proposed but conclusive evidence concerning postoperative morbidity and oncological results is lacking. There have also been few studies on the safety and feasibility of laparoscopic surgery for SFCC. After detaching the colon from the parietal peritoneum, we changed the patient's position into a reverse Trendelenburg position, detached the omentum from the transverse colon starting at the level of the falciform ligament and extending to the splenic flexure colon, and then entered the lesser sac. Study Description. Make a fist with your left hand and place it half way down your left rib line just underneath. Materials and Methods: We performed a retrospective review of 51 operative notes for complete SFMs performed at a single institution from January 2015 to June. IMV is located close to the ligament of Treitz and passes below lower border of the pancreas to join the. Lernen Sie die Übersetzung für 'splenicx20flexure' in LEOs Englisch ⇔ Deutsch Wörterbuch. 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. Splenic flexure cancer is relatively rare among colon cancers. We use a fully robotic single, side-docking technique, which means we do not have to dock the robot twice for splenic-flexure mobilization. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. 5% of body weight. Causes of the reduced blood flow can include. 6%) and above it in 4 patients (6. splenic disease: Milzkrankheit {f} med. splenic atrophy: Milzatrophie {f} med. splenic flexure. 5. The sigmoid colon was. Although embryological and anatomical consideration should be helpful to perform CME in colorectal cancer surgery, such studies on the splenic flexure. 1. Synonym(s): flexura coli sinistra [TA], flexura colica splenica ☆ , splenic flexure ☆1. Splenic flexure cancers account for up to 8% of all colon cancers. Methods: The surgical outcomes and relevant anatomic structures of 104 consecutive patients undergoing. A 14-year-old boy with no medical history had severe left upper. Proc R Soc Med. Thus, the spleen is situated between the fundus of the stomach and the diaphragm. As inspection proceeds, the endoscopist looks for an open section of bowel in which to unwind from retroflexion. dict. The blood supply to the splenic flexure is variable. In those with obstructive splenic flexure colon cancer (OSFCC), a debate still exists regarding the most appropriate surgery. Bloody stools can be a sign of serious damage to the colon. ascending colon becomes the transverse colon c. Incise a roughly 2 cm disc of skin at the marked colostomy site using a scalpel. Visualization of rectum, sigmoid colon, descending colon to splenic flexure. The case report describes the rare presentation of a 79-year-old patient with a locally perforated splenic flexure tumour of the colon presenting with an apparent empyema thoracis in the absence of abdominal signs or symptoms. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. They are generally thought to have a poorer prognosis as they are often discovered at a more advanced stage and have an increased risk of bowel obstruction [1, 3]. 4 per. Splenic abscess is a rare entity, with a reported frequency of 0. dates searched were from 1969, date of the first case reported, to October 2015 (Table 1 [ 3 - 31 ]). Segmental colectomy was the preferred surgical procedure for managing splenic flexure carcinoma in the elective setting, with a preference rate of 72%. A diagnostic approach to splenic lesions. Retroflexion is ended before the splenic flexure is reached when either standard or pediatric colonoscopes are used. 2 These factors lead to capsular avulsions and lacerations of the spleen. Splenic-flexure syndrome is a chronic disorder that may be caused by gas trapped at bends (flexures) in the colon. Optimal treatment of splenic flexure (SF) colon cancer—less than 10 % of all colorectal cancers is a matter of debate, in particular with regard to the optimal extent of radical surgery, according to the oncological principles of curative resection. The act or an instance of bending or flexing; flexion. In general,. MAIN OUTCOME MEASURES: We evaluated Clavien-Dindo ≥3 postoperative complications and oncological (number of lymph nodes removed, length of free proximal and distal margins. Traditionally, SFCs are defined as tumors located within. Define flexure. For pediatric measurements, see the article spleen size (pediatric) The spleen has two poles. Abstract. 32 ). 補足としてですが上行結腸と横行結腸の曲がり角を⑥肝湾曲（Hepatic Flexure）HF、横行結腸と下行結腸の曲がり角を④脾湾曲（Splenic Flexure）SFと呼んでいるので覚えておきましょう。 下図に. Methods This retrospective cohort study involved 51 patients who underwent laparoscopic surgery for colon cancer at Tokushima University Hospital from July 2015 to December. Accessory Spleen. The splenic flexure was above the hilum of the spleen in 95 patients (67. The left colon is mobilized until the splenic flexure. This syndrome has been recognized as a type of irritable. Medical history, physical examination, X-ray can be help in. 3%). It was found that the predominant supply was from the IMA/the inferior mesenteric vein (IMV) in 59. Lernen Sie die Übersetzung für 'splenicx20flexure' in LEOs Englisch ⇔ Deutsch Wörterbuch. - no tenderness should be present. The spleen is a hematopoietic organ that filters and removes aging blood products and aids in immunity against incapsulated bacterial organisms. Transverse colon: This is the part of colon between the hepatic flexure and the splenic flexure. Tail of pancreasex. The goal of this study was to compare lymph node harvest and post-operative morbidity between segmental resection and formal left hemicolectomy for splenic flexure colon cancers. Splenic flexure (SF) carcinoma is relatively uncommon, representing only 3% to 5% of all colon cancers. [ 38] Percutaneous drainage has gained acceptance as an effective and less invasive treatment method than surgical intervention in selected patients. They have density and enhancing characteristics similar to the rest of the spleen. The act or an instance of bending or flexing; flexion. Surgical treatment of the transverse colon is difficult because of the many variations of blood vessels. Methods: From July 2013 to January 2016, consecutive patients of the splenic flexural colon cancer with a preoperative diagnosis of N0 who underwent. The tail of the pancreas leaves an impression between the hilum and colic impression sites. The splenic hilum contains nerves, splenic vessels, and also contains attachments for the splenorenal and gastrosplenic ligaments. 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. The last search was conducted on November 7, 2021. Splenic lesions are commonly encountered and are often incidental in nature. 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. RESULTS: The most performed surgery was splenic flexure colectomy (59%), followed by subtotal colectomy (23%) and left hemicolectomy (18%). 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 []. Often, a difficult splenic flexure mobilization is due to an inadequate incision and therefore inadequate exposure of the flexure. Although embryological and anatomical consideration should be helpful to perform CME in colorectal cancer surgery, such studies on the splenic flexure. The present study defined the following anatomic hallmarks for the colonic splenic flexure: (1) The transverse mesocolon distal to the inferior mesenteric vein adheres to the low border of pancreas by the avascular fibrous connective tissues, which have been inappropriately named as “mesenteric root”; (2) The colonic splenic flexure abuts. []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. The fact that you have “extrinsic stenosis at the splenic flexure” means that the hernia may be causing some pressure on the left side of your colon, called the splenic flexure.