Splenic flexure cancer (SFC) is defined as a colon cancer situated in the distal third of the transverse colon, or in the left colonic corner, or in the proximal descending colon within 10 cm from the flexure 1. The concept of the hepatic and splenic flexure syndromes has proved to be of positive clinical value. IBS (Irritable Bowel Syndrome) is a disorder of the gut in which the sufferer experiences abdominal pain, bloating or discomfort and a change in bowel habit, without an obvious cause. Five of the six patients were mentally retarded, lifelong residents of a long-term-care institution. Intrapancreatic accessory spleen (IPAS) may mimic pancreatic neoplasms, but requires no further treatment. Introduction. Have you considered splenic flexure syndrome. Six cases of splenic flexure volvulus were studied over a 14-year period. Without obstruction: splenic flexure syndrome is a collection of symptoms from gas trapped at the upper left abdominal area: can cause cramping and spasm. The patients were aged 15-62 years. If the gas build-up too much, you can get “splenic flexure syndrome”. I control it with following a diet that is good for people with irritable bowel syndrome and I was prescribed Bentyl which helps me tremendously when the pain starts up. 29 Other allergic and dietetic gastroenteritis and colitis. v. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides and polyols. 32 ). Sep 10, 2008. Learn how we can help. The splenic flexure, the highest and deepest segment of the colon, is attached to the undersurface of the diaphragm at the level of the 10th and 11th ribs by the. 32 ). Blood in your stool may be bright or dark red. 脾臓屈曲症候群は、ガスが蓄積したり、結腸に閉じ込められたりしたときに発生します。. " feels bloated, not distended. Symptoms of sigmoid volvulus include: failing to pass a bowel movement. Splenic flexure cancer is relatively rare compared to adenocarcinoma located in the descending or sigmoid colon, representing 1%-8% of all colon cancers []. INTRODUCTION. Malignant neoplasm of splenic flexure C18. This is the first report of splenic flexure volvulus in which. The stricture has resulted in early subacute bowel obstruction as shown by a mildly dilated caecum with air fluid level and minor fluid distension of the terminal ileum, owing to an incompetent ileocaecal valve (fig 3 ⇓). abdominal or rectal pain. Flexures are areas of the intestine that make. Accompanying these anomalies, there may be fever, bloating, abdominal cramping, or spasms of the colon. SFV can be categorized into both primary and secondary etiologies. 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. Posted January 8, 2019. Hi,I'm 50 and have splenic flexure,it is an awful problem and I have spent many hours in agony or unable to leave the toilet,I had a very good doctor,but alas he has retired,he said there was an operation but advised me not to have it as more go wrong than right and you really don't want anyone cocking up your colon ,I used to have a bout of SF. In patients at high risk for conversion, this can be done first to determine if conversion is needed. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. This has not been reported after colonoscopy, but injury to the spleen has been. #1. 2. Mucosal injuries were assessed in eight different segments (lower part of the rectum 2 cm above the anal verge, middle part of the sigmoid, descending colon below the splenic flexure, transverse colon just after the splenic flexure, transverse colon before the hepatic flexure, ascending colon under the hepatic flexure, ileocecal valve and cecum). INDICATION FOR PROCEDURE: The patient is a very pleasant, 67-year-old gentleman. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. Objective Reversible splenial lesion syndrome (RESLES) is a clinical radiological syndrome characterized by a reversible lesion of the splenium of the corpus callosum with a decreased apparent diffusion coefficient (ADC) value. A feeling of something lodged at the base of my left ribcage. 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. Ulcerative colitis is a type of inflammatory bowel disease. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. 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. It's thought to be a sub-type of IBS. Irritable Bowel Syndrome. The axial abdominal computed tomogram shows a shouldered colonic stricture at the hepatic flexure (fig 2 ⇓). Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. the LACK of disorder/illness. A redundant sigmoid colon could lead to sigmoid volvulus. Most cases of adult SFV have an underlying disease associated with. nephrotic syndrome or renal failure. Since the 1970 there have very few if any scientific articles published on this syndrome. When this happens, food and liquids are not able to pass through your intestines. 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. 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. , the central white pulp containing lymphocytes, and the peripheral red pulp, made of tortuous venous sinuses that entrap red blood cells. I’m absolutely beside myself with anxiety. Developer Forum; Europe PMC plus; Search life-sciences literature (42,167,664 articles, preprints and more) Search. Symptoms of this disease included Pain in upper-left side of abdomen, fever, abdominal cramps, bloating, and colon spasms, constipation or diARGHhea. This condition may cause all-over abdominal distention. These points are retroperitoneal and are. 2 • (A) Splenomegaly in portal hypertension. CT. On the other hand, the SFS symptoms are very nondescript, IMO, and are common among countless other disorders, illnesses and. Even more symptoms. B. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. Intestinal pseudo-obstruction is a rare condition. 4. OBJECTIVE. Factors such as the interruption or absence of peritoneal attachments and redundant colon with a long. 2011. 9%). . My doctor thinks I'm a nut case because of these complaints over the years. Methods: Clinical data of 52 patients with non-obstructive splenic flexure colon cancer from March 2004 to March 2011 in the Department of General Surgery at. Splenic flexure mobilization (SFM) is one of the most difficult steps in laparoscopic colorectal surgery and its role is harshly debated. 1, 2 The spleen is also a. Splenic-flexure syndrome often accompanies IBS. I'm doing a bit of googling which is always fatal. It is. The sigmoid colon is the part of the colon closest to the rectum. Some 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. [Google Scholar] Associated Data. vomiting. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. Come join the discussion about treatment, diet, health, lifestyles, spirituality. The location of the splenic flexure is affected largely by bowel conditions, such as retention of air and faeces in the colon (Fig. During this process, I get on the floor and massage the lower right side as there is a great deal of. 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. [3, 4] It is clearly always associated with Chilaiditi's sign. I used to when I was backed up all the time, which isn't surprising with your IBS-C. Come join the discussion about treatment, diet, health, lifestyles, spirituality, medication. 7%) patients and 7 (5%) patients has a splenic flexure that lied below the lower pole of the spleen. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This happens when gas. Diverting loop ileostomy 6. 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. Methods To analyze…. The splenic flexure, the highest-reaching segment of the colon, may become distended as the gas rises to fill it. Splenic flexure syndrome anybody??? OK, I found something on the net called splenic flexure syndrome, which apparently sounds like gas or something is wrong with the splenic flexure of the colon which wraps around the top curve on the left side. Osuka A, Ikegami R, Watanabe Y. The gas that is found in the colon is a mix between that which is swallowed and that which the intestine makes. Try using simet. 17. Chen Yi-lei. 1%), LC ( n = 18, 20%), or SLC ( n = 17, 18. Patient positioning. 2 years ago • 5 Replies. occurs more often than right-sided colorectal cancers; is seen more often in men and in people under 65; has tumors that grow along the wall of the colon; often presents with constipation, narrow stools, and other bowel habit changesThe location of the splenic flexure is affected largely by bowel conditions, such as retention of air and faeces in the colon (Fig. Splenic-flexure syndrome is a chronic disorder that may be caused by gas trapped at bends (flexures) in the colon. Predisposing factors are the congenital. Splenic flexure syndrome is a disorder characterized by symptoms in-cluding bloating, fullness, and left upper abdominal pain, which are caused by the distended splenic flexure. The meaning of SPLENIC FLEXURE SYNDROME is 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. 17. Splenic or Hepatic Flexure Syndrome. After a few hours of not eating the pain and. Try using simethicone tablets like Phazyme-125 or Extra Stength or Gas-X. 5 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of splenic flexure. Author J SHAFAR. The splenic flexure is that portion of the colon or large intestine that changes direction from horizontal to vertical in the left upper abdomen, adjacent to the spleen. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. 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. Expand. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia,. The symptoms of splenic flexure syndrome include bloating, pain in the upper left abdomen, and a feeling of fullness in the abdomen. The following symptoms may be experienced with cecal volvulus: ballooning abdomen (abdominal distension) constipation. This topic provides an overview of normal splenic size and function and an approach to evaluating splenic abnormalities in adults. 3%), and an open approach was chosen in 81. Medical history, physical examination, X-ray can be help in perfect diagnosis. For the present analysis, SFC patients were selected if. If anyone tries this and it helps, will you post so I can find out if I'm on the right track. 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. The splenic flexure receives its blood supply from both the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA), with most splenic flexure cancer nodal metastases found along the ascending left colic artery. A team of colorectal surgeons at China Medical University Hospital adopted a standardized approach to laparoscopic rectal surgery particularly simplifying the steps involved in. However, tumors located in the descending colon, splenic flexure, or distal transverse colon account for only 7. the results of the following examinations. Splenic flexure is a rare site for volvulus. 2A). I have IBS and have this a lot, just assume it is a bowel thing. Some foods are known to aggravate the pain; the reason why diet modification is also recommended to minimize the incidence of pain episodes. Add message Thanks. 4. I am assuming the anastomosis and takedown can not be coded separately & are. 3 may differ. The splenic flexure is part of the colon near the spleen and gas accumuates there as it sits high in the abdomen. Accompanying these anomalies, there may be fever, bloating, abdominal cramping, or spasms of the colon. Your Splenic Flexure is where your transverse colon turns a sharp corner. heterotaxy syndrome. In this form of ulcerative colitis, continuous inflammation begins at the rectum and extends as far into the colon as the splenic flexure, which is a bend in the colon near the spleen. Tumors located in this region often present late in advanced stages, most commonly with obstructive symptoms []. 32 ). , in pancreatic cancer or due to antiphospholipid syndrome) Hematologic disorders (e. It lies within the left upper quadrant of the peritoneal cavity and abuts ribs 9-12, the stomach, the left kidney, the splenic flexure of the colon, and the tail of the pancreas. Shaban Faruqui: Chilaiditi's sign: Pain in IBS may be focal at the splenic flexure or. . 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. splenic flexure: [ flek´sher ] a bend or fold. Many people have gas build-ups from time to time. Splenic Flexure – WebMD. Bowel Irregularity. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. I was diagnosed with "Splenic Flexure Syndrome" (when the Splenic Flexure stays contracted it can cause basically identical symptoms to a heart attack) by a gastroenterologist. It is shaped like a question mark or a shepherd’s crook. 1-year mortality is approximately 85% with right isomerism and more than 50% with polysplenia syndrome as the latter has less association with congenital heart diseases 11. low-dose antianxiety med, too, I guess. Forum . & Laurberg, S. Have a question about ICD-10-CM Code C18. Thesegment. Longitudinal ultrasonography of the spleen shows an approximately 1. Crohn's disease, colon cancer, or any disease that causes intestinal obstruction, may also cause abdominal bloating. Performing the flexure release as the initial step of the operation can minimize incision length if conversion were needed later. It may sometimes be more appropriate to have just part of your spleen removed – a partial splenectomy. Experience with. As a library, NLM provides access to scientific literature. 5% of body weight. The splenic flexure takedown is often the most difficult part of the procedure. It is roughly the size of an individual’s fist, measuring. Treatment consists of medication for irritable bowel and diet. I also take Protonix at bedtime to keep down the acid while I sleep. Currently there are no standardized techniques for splenic flexure. Mine is like an ache right at the bottom-left of the rib cage just left of the solar plexus. In rare event acute pancreatitis leads to colonic obstructions, and it most often does so in the locations of the splenic flexure and transverse colon []. Quote. Splenic Flexure. I did some research and the condition is called splenic flexure syndrome. 86%), at the splenic hilum level in 11 patents (7. 32 ). Two subtypes of splenic hamartomas can occur: white pulp lesions, which are composed of aberrant lymphoid tissue, and red pulp lesions, which are composed of an aberrant complex of sinuses. trouble passing gas. Try using simet. Twenty percent of the 93 cases. Rigid sigmoidoscopy 5. Other symptoms of splenic flexure syndrome include bloating, gas, diarrhea, and constipation. Intestinal obstruction is one of the most frequent reasons for obtaining surgical consultation in newborns. Background The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. 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]. 88%), between the hilum and lower pole of the spleen in 12 (8. A person with a first. If there’s time, you’ll be advised to have a series of immunisations before. 80 ±. 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. 473. Usually it didn't feel like that to me, but once in a great while, it did. Hi There, New to the forum as of today. Could be spleenic flexor syndrome. PMC2482946. Save Share. As you said splenic flexure syndrome is considered by many physicians to be a subtype of IBS where gas in the splenic flexure cause bowel spasms. . Objective: To investigate the anatomic characteristics of splenic flexure, surgical techniques, and oncologic outcomes in 52 patients with non-obstructive splenic flexure colon cancer. "can hepatic flexure syndrome produce constant symptoms? feel twinge on right middle abdomen when stretching or bending down or twisting quickly daily. Splenic Flexure Syndrome. It is the highest point your colon reaches in your. RADIOLOGICAL and clinical evidence of largebowel obstruction in pancreatitis has been infrequently reported in the literature. The purpose of this review was to define the imaging features of colonic pseudoobstruction and to describe the pathologic findings. I have been on the for so long that they don't make me drowsy anymore. It is an inflammatory bowel disorder that involves the large intestine and initially develops in rectal area but later affects the whole of the large intestine. The inferior splenic margin is blunted, descending. Certainly both of them are very similiar. 11:56. Add to quote; Share Only show this. Injuries to the colon near the splenic flexure can cause blood loss or low blood pressure. We describe the case of SFV diagnosed and treated laparoscopically in the non-volvulus condition. Here’s my symptoms— I’m glad you found this— Buscopan number one in my bookThe Splenic Flexure Syndrome - PMC. 2. We experienced a SFV case who was a 20. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. Splenic flexure volvulus (SFV) is a very rare condition that is unlikely to be suspected even when a patient has repeated episodes of abdominal pain and dyschezia. More precisely, the spleen is located posterior to the stomach and anterior to the left hemidiaphragm at the level of ribs 9-10. I sometimes can't tell if I'm in pain or hungry. As a library, NLM provides access to scientific literature. Los siguientes son los signos y síntomas acompañantes del síndrome: Distensión abdominal . As a library, NLM provides access to scientific literature. I remember being told in the past that my colon is longer than normal but never heard the term. Examples include splenomegaly from subacute bacterial endocarditis, lupus, and Felty syndrome, and from viral infections such as Epstein-Barr virus–induced. Splenic or Hepatic Flexure Syndrome. i have chronic constipation. An ovoid soft-tissue mass which was considered to be the spleen could be seen lying. Splenic flexure volvulus can occur in association with other motility disorders, such as pseudo-obstruction [], triad symdrome. They can also take over one or more of the instruments, if needed. Hajivassiliou et al. Wondering if anyone has tried meds. In fact, it eliminated 80% of my symptoms when I first started taking it at 2mg per day. 10–12. Splenic flexure syndrome refers to the trapping of gas at the splenic flexure causing distension and bloating. 09 in patients with splenic steal syndrome and 0. This happens when gas builds up or becomes trapped in the colon. 1 - 4 of 4 Posts. C18. Acute colonic pseudo-obstruction (ACPO), known as Ogilvie syndrome, is a distinct form of colonic dilatation without evidence of underlying mechanical or anatomic cause. values ± SD were 0. Splenic flexure syndrome is where gas becomes trapped at the left bend of the colon causing fullness, discomfort and even pain. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. Low anterior resection, rectosigmoid, with primary anastomosis with EEA stapler. Many blood vessels come together at the splenic flexure, so the area is important for blood flow. The term “irritable colon syndrome” is used to embrace a variety of colonic functional disturbances which can be divided into two main. But I'm a bit concerned this has been the cause of my digestive issue and low grade temp the last 3 years. 95 ± 0. Introduction. Concomitant rectosigmoid spasm may also prevent the normal release. Save Share. 1). ascending (eight), hepatic flexure (six), transverse (three) and splenic flexure (one). Asplenia refers to absence of the spleen thereby leading to deficient splenic function. It is also called the left colic flexure. Thought to be the primary cause of this condition, gas accumulation causes trapped air to push on the inner lining of your stomach and digestive tract. 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 []. Pain from presumed gas pockets in the splenic flexure may masquerade as anterior chest pain or left upper quadrant abdominal pain. doi: 10. Traditionally, SFCs are defined as tumors located within. Given the fact that, less than 100 cases have been reported in the literature, this diagnosis is. No or too few reports of Distention of the colon's splenic flexure are found in people who take Apple cider vinegar. Posted January 8, 2019. Approximately one third of polyps and one half of colorectal cancers occur proximal to the splenic flexure. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. 2) I believe that both splenic flexure syndrome and distension refer to the. The spleen is related to stomach anteromedially, left kidney and splenic flexure inferiorly, pancreas medially, left ribs 9–11 posterolaterally and diaphragm superiorly and posteriorly. Introduction. Chronic condition where gas gets trapped in that section of the colon. vaginam for two weeks. Cancer of the splenic flexure is defined as colon cancer situated between the distal third of the transverse colon and the proximal descending colon within 10 cm of the flexure (2, 3). This pain is usually felt in the upper left abdomen, near the spleen. We reviewed the. Postgrad Med J. Applicable To. constipation. Journal List. The colon is divided into ascending, transverse, and descending parts. 2-cm round to oval mass (arrows) with echogenicity identical to that of the spleen at the splenic hilum, suggesting an accessory spleen. Spasms and pain can then radiate up under the left rib area & feel like pain, pressure, spasming or can mimic heart pain. The Old Splenic Flexure is Playing Up Again!! Jump to Latest Follow. The male-to-female ratio is 2:1. Any cause of increased splenocolic. A chest x-ray would be helpful to rule out lung conditions causing these symptoms. Objective To explore the imaging findings of splenic flexure syndrome,and try to improve the diagnosis ability. , sickle. Colonic pseudoobstruction can be diagnosed on the basis of CT findings that show extensive colonic dilatation without an obstructive lesion at the intermediate transitional zone or adjacent to. Sharp pain or cramps under the left or right side of the ribs; Pain that worsens when inhaling; Bloating; Constipation; Increased gas; Belching; Splenic and hepatic flexure syndromes are caused by trapped gas or stool in your intestines. The splenic flexure, the highest-reaching segment of the co-lon, may become distended as the gas rises to fill it. Hepatodiaphragmatic interposition of the intestine, or Chilaiditi syndrome, is uncommon. It is relieved by manipulation and anti-gas treatment. After extending the incision and delivering the splenic flexure into the wound, it became apparent that the splenic flexure had made two complete turns on itself (720. For me i think it is called splenic flexure. 2169/internalmedicine. I is it possible to cause splenic flexure syndrome after a colonoscopy? 2 doctor answers • 7 doctors weighed in. Splenic flexure volvulus (SFV) is a very rare condition that is unlikely to be suspected even when a patient has repeated episodes of abdominal pain and dyschezia. THE SPLENIC FLEXURE SYNDROME Postgrad Med J. Fig. The gas may be released when the body has problems with some. Ulq pain, when slouching, press just below l ribs and can feel a "pop. Quote. A redundant sigmoid colon could lead to sigmoid volvulus. Some watery stool comes out. fever. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. abdominal or rectal pain. Overwhelming post-splenectomy infection. It is thought to be caused by an abnormal build. []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. #1. Irritable Bowel Syndrome. It may be induced experimentally by the introduction and. the pain moves. Splenic Flexure Syndrome. Published on May 10, 2017. They gave him charcoal pills and simethicone, which reduced the gas for a short while before the discomfort grew worse. However, after three months, I had to double the dose to 4mg a day. Citation, DOI, disclosures and article data. Sometimes just part of your spleen can be removed, which is called a partial splenectomy. The imaging diagnosis of splenic flexure syndrome. IBS is called a syndrome because it involves. It is also known as chronic digestive. Splenic Flexure Syndrome Symptoms Forum. Please note that the simple action of having the glycerine suppository in my anus causes a bowel movement. 148 No abstract available. An enlarged spleen. cephalic flexure the curve in the mid-brain of the embryo. Although reports of rupture during diagnostic colonoscopies have been reported, polypectomy at the splenic flexure appears to increase the risk of splenic injuries substantially. This is a **very** physically painful problem in upper LEFT ab just slightly below the lowest LEFT SIDE rib. . Irritable Bowel Syndrome. From October 2005 to May 2014 minimally invasive approach was proposed to all pa-tients with histological diagnosis of splenic flexure carcin-Introduction: Colonic volvulus is defined as an axial twist of the colon along its mesentery, it accounts for 2-4% of large bowel obstruction. post: 474767, member: 654943"] Found this: To code Lynch Syndrome, you should report V84. Its vascularity, location, and functions make the spleen susceptible to several conditions that may be challenging to evaluate and treat. RESULTS: The most performed surgery was splenic flexure colectomy (59%), followed by subtotal colectomy (23%) and left hemicolectomy (18%). 11:56. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. The spleen is found in the left hypochondriac region of the abdomen (left upper quadrant). No movement for hours (or a few days) coupled with severe pain. Hepatic flexure syndrome is a common medical issue and it causes a variety of symptoms. 3. 1,2 This syndrome A 39-year-old woman with a previous diagnosis of irritable bowel syndrome presented with progressively worsening episodes of marked abdominal distension and difficulties with defecation. One of the most difficult steps of a robotic anterior resection is the splenic flexure mobilization. It is important to note that the transitional region in pseudo-obstruction tends to be at or near the splenic flexure . Left-Sided Colitis. Chilaiditi's syndrome is a clinical abnormality consisting of episodic, recurrent, abdominal pain sometimes associated with colonic volvulus but occasionally with intermittent upper gastrointestinal obstruction by an ectopic segment of colon. 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. I was finally diagnosed with splenic flexure syndrome which is basically trapped gas that can't move out of the bend of the large colon. weight loss. If any of you has been correctly diagnosed with splenic flexure syndrome and had proper treatment for it,. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Code History. We know we are lead in our ICD 10 manual to code them as part of the transverse colon under the code D12. This would contribute to the sounds and pain in the chest area. The syndrome occurs when the colon becomes twisted or kinked at. tine splenic flexure mobilization; however, they believe that the morbidity and mortality that result from anastomotic complications prevail over the associated risks. It has multiple aetiological factors with some encountered much more frequently than others. Some people with digestive issues can benefit. 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.