If you take magnesium, this helps with bowel movements. The aim of this study was to review our experience in laparoscopic treatment. cases of splenic flexure syndrome were various types Fig. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. g. IBD;Splenic hamartomas can be associated with syndromes—namely, tuberous sclerosis and Wiskott-Aldrich-syndrome. Splenic flexure cancer is relatively rare, representing. 2 years ago • 5 Replies. PJ Mehta’s Practical Medicine - Free PDF Download - PJ Mehta - 630 Pages - Year: 2004 - medicine - Read Online @ PDF Room. The descending colon lies on the posterior abdominal. Splenic hamartomas can be associated with syndromes—namely, tuberous sclerosis and Wiskott-Aldrich-syndrome. The main points of controversy include the appropriate extent of colon resection, either to the right or to the left, and the appropriate extent of lymph-node dissection. 6 Malignant neoplasm of descending colon C18. Reflexology therapy for splenic flexure helps with splenic flexure syndrome; trapping of gas leads to bloating and distension. It won’t be unwise to seek medical help if you need another opinion. SFV can be categorized into both primary and secondary etiologies. Splenic Flexure Syndrome: Causes, Symptoms & Management Introduction Splenic Flexure Syndrome Splenic flexure syndrome is a medical condition characterized by discomfort, pain, and bloating in the upper left DrCure. Walk the hands further up the back for stability. There is continued debate, first, about the specificity of these tests (they are often highly invasive, so data in true ‘ control’ subjects are sparse) and, second, about their true prevalence in patients with chest pain of uncertain origin since most case series includeSplenic macrophages have a major role in phagocytosing bacteria and aging blood cells from the circulation. e. Splenic Flexure Syndrome. Other symptoms of splenic flexure syndrome include bloating, gas, diarrhea, and constipation. 9,10 Opponents of routine splenic flexure mobilization argue that splenic flexure mobilization is a complex procedure, not a complication free approach, and time consuming. Quote. Posted January 8, 2019. 7 Malignant neoplasm of sigmoid colon. 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 []. 4%) underwent extended right hemicolectomy, 24 (23. 3%) underwent extended left. Splenic flexure mobilization was associated with wider margins (3. Corpus ID: 75950487. It lies more cranial than the right colic. For a more advanced. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. 01). I'm doing a bit of googling which is always fatal. 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. . The concept of the hepatic and splenic flexure syndromes has proved to be of positive clinical value. Splenic-flexure syndrome may occur due to gas trapped at bends (flexures) in the colon. If the gas build-up too much, you can get “splenic flexure syndrome”. However, this syndrome is really rare among children. 2 Splenic Flexure Syndrome Exercises 2023-04-06 show you how to: Find ways to treat your IBS effectively and avoid flare-ups, including prescription and over-the-counter medications, and complementary and alternative therapies Relieve stomach pain, gas, bloating, diarrhea, and constipation Know which food and beverages to eat and. Colonic pseudo-obstruction (also known as Ogilvie syndrome) is a potentially fatal condition leading to an acute colonic distention without an underlying mechanical obstruction. Walk the hands further up the back for stability. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. Go to: Background Splenic flexure is a rare site for volvulus. 4. 89 - other international versions of ICD-10 K59. Surgeons need to be facile and familiar with several approaches (Fig. Treatment is basically the same as for gas & IBS. 1) to favor the opening of the splenic angle. Gas in the upper left portion of the colon can result in a condition called the splenic flexure syndrome. Benign neoplasm of hepatic flexure. Long answer. I take 2 a day of the linzess. How to say splenic flexure in English? Pronunciation of splenic flexure with 3 audio pronunciations, 1 meaning, 13 translations and more for splenic flexure. A splenic flexure volvulus (SFV) is usually densely attached to its adjacent organs, making it the least common site to develop a colonic volvulus [ 2 ]. 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. Have been referred today for tests for everything under the sun, ovarian cancer, coeliacs, ultrasound, fecal test, blood tests. Medial approach to the desc. The majority of patients with the splenic flexure syndrome complain of distention, pressure or fullness in the left upper abdominal quadrant or in the precordial area. abdominal distention, or bloating. A proper diet is the first step to decreasing the chance of having complications with a tortuous colon. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. splenic flexure syndrome, like irritable bowel but in this location,,,,trapped gas,. Processed cereals and bread. Symptoms of sigmoid volvulus include: failing to pass a bowel movement. This is because smokers tend to inhale a lot more air than non-smokers which can lead to the build-up of gas either in the oesophagus, the. We retrospectively compared the postoperative, pathological and. Background Splenic injury as a result of colonoscopy is rare but may be underreported and cases may remain undetected. According to these available studies, splenic atrophy and asplenia have been reported to be common in autoimmune polyendocrinopathy–candidiasis–ectodermal dystrophy (APECED) syndrome, but the. 32 ). SFV was first reported in 1953 by Glazer and Adlersberg et al. The pain can radiate to the back, causing back pain. Factors such as the interruption or absence of peritoneal attachments and redundant colon with a long. Persons with splenic and hepatic flexure syndrome usually get constipation, bloating, and pain from inhaling. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Please note that the simple action of having the glycerine suppository in my anus causes a bowel movement. The main symptom of splenic flexure syndrome is abdominal pain. the LACK of disorder/illness. Splenic-flexure syndrome often accompanies IBS. 89 became effective on October 1, 2023. This condition includes. This is in the upper left part of your abdomen (over your spleen). 7%) patients and 7 (5%) patients has a splenic flexure that lied below the lower pole of the spleen. This happens when gas builds up or becomes trapped in the colon. The spleen is a hematopoietic organ that filters and removes aging blood products and aids in immunity against incapsulated bacterial organisms. 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. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. 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 . 1,2 This syndrome At first, mistake in diagnosis of splenic flexure may be occurring but the experience can begin to grow in intensity. Sometimes just part of your spleen can be removed, which is called a partial splenectomy. Prunes. Bend forwards and stretch your arms out in front of you, resting them on the floor as far. Minimally invasive SFM improves visualization and minimizes splenic traction. 3%) underwent extended left. 4. Splenic injury is an extremely rare, yet serious, complication related to colonoscopy. 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. In recent years, however, several studies have questioned which type of resection would provide the best surgical and. chest pain. dtLeft upper quadrant pain can originate from the chest, diaphragm, abdomen, peritoneum or general medical conditions. Medical history, physical examination, X-ray can be help in perfect diagnosis. If the sigmoid has been correctly straightened, once the tip of the scope is next to the curve, the splenic flexure is passed aspirating air and. If there's time, you'll be advised to have certain vaccinations before the operation. How to do reflexology therapy for the descending colon? Descending-colon reflex is on the left foot only. the problem I have is. Patient positioning. An aching pain in the left lower chest or pectoral region, and less frequently in the left side of the neck, shoulder or arm, may be experienced and cause concern over coronary. Key points. I eventually got into a Gastro doc and he ordered blood tests and stool test. Splenic infarction occurs when blood flow to the spleen is compromised causing tissue ischemia and eventual necrosis. A 14-year-old boy with no medical history had severe left upper abdominal pain and. The 2024 edition of ICD-10-CM K59. The causes of such pain could be: Muscle pain, Acid Peptic disorder which includes acid reflux, gastritis, etc; acute and chronic pancreatitis; acute and chronic cholecystitis; splenic flexure syndrome (when gas bubble gets blocked in the splenic part of the intestine; and most importantly, cardiac pain, which could be due to ischemic. Ive seen a gastro doc who diagnosed me with splenic flexure syndrome. 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. Signs and symptoms may include: constipation. Can be painful. The following are some of the conditions that are closely related to splenic flexure syndrome: 1. cases of splenic flexure syndrome were various types Fig. Watershed areas account for about 70% of ischemic colitis. An individual produces one to three pints of gas per day on average. It may sometimes be more appropriate to have just part of your spleen removed – a partial splenectomy. 3%). Left-Sided Colitis. Intestinal pseudo-obstruction is a rare condition. When it descends into the pelvis, it is referred to as the sigmoid colon. Please note that the simple action of having the glycerine suppository in my anus causes a bowel movement. Much has been written about the myriad pathologic conditions that can occur in the spleen; however,. Twenty percent of the 93 cases. John Fung answered. One had multiple erosions of the splenic flexure and one had a polyp . In hepatic flexure syndrome, the gas or stool is trapped in the hepatic flexure (over the liver). Peas. g. HG is. A team of colorectal surgeons at China Medical University Hospital adopted a standardized approach to laparoscopic rectal surgery particularly simplifying the steps involved in. 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. I’ve ended up in A&E a couple of times due to the severe pain. 3. A second collection is anterior to the splenic flexure of the colon. Their capability to kindle emotions, provoke contemplation, andAs they have the fewest vascular collaterals, they are prone to develop non-occlusive IC at the watershed zones when blood flow decreases. Wondering if anyone has tried meds. b. This may sometimes be visible and feel like a hard knot or ball and is not due to enlargement. A 14-year-old boy with no medical history had severe left upper abdominal. I was referred to a gastro surgeon who had me get barium enama (X-ray of my colon). The larger the aneurysm, the more dangerous it can be. doi: 10. 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). When the gas gets trapped inside the flexures or curves in your colon, it leads to a condition termed Splenic flexure syndrome. Your splenic flexure is situated adjacent to your spleen. Splenic flexure mobilization (SFM) has been shown to be one of the most difficult steps to learn in laparoscopic colorectal surgery [1,2,3,4]. 1) to favor the opening of the splenic angle. Levator syndrome. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. e. Simple stretches to help. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. 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. Pain from presumed gas pockets in the splenic flexure may masquerade as anterior chest pain or left upper quadrant abdominal pain. This is the first report of splenic flexure volvulus in which. 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. A total of 103 patients treated with surgery for splenic flexure cancer were included in the study: 22 (21. Splenic Flexure – WebMD. Methods Review of the literature and analysis of 93 cases, including a new case report. Background There is ongoing debate regarding surgical treatment of splenic flexure cancer. If you do that, gravity can stop acid coming up while you sleep. The relevent history was of admission for the investigation of an iron-deficiency anaemia 4 years previously. Gastritis was found in 16, esophagitis in six, and a gastric ulcer in one. 1, 2, 3 Splenic steal syndrome presents nonspecifically as graft dysfunction and, if overlooked, may lead to graft failure. Recent colonoscopy was unremarkable. 88%), between the hilum and lower pole of the spleen in 12 (8. Many people have gas build-ups from time to time. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality rates. And/or irritable bowel medications. I’ve had a pain under my left rib in my stomach for a few months now. It is thought to be due to distension or spasm of the splenic flexure of the colon. Fig. An aneurysm can happen in any of your arteries and is a result of weakening within the wall of the artery. Splenic Flexure Syndrome: The presence of gas in the colon is common. Abscess formation is among the rare complications. Increased splenocolic adhesions, splenomegaly or. mostly on the left but at times right in the center of my. 5% to 10% of all colon cancers. Results Neither a history of abdominal surgery nor performance of a biopsy seems related to an increased incidence of splenic injury. According to LiveStrong, the most effective change in one’s diet to alleviate constipation is increasing fluid and fiber intake. It has been considered a type of IBS. 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,Exercise, going for a walk, a cycle or using the gym; Relaxing exercise such as yoga, Tai’chi combined with meditation can bring enormous relief if used regularly. Open SFM is challenging due to anatomic position. As a result, pressure can build on surrounding organs causing pain and discomfort. Splenic-Flexure Syndrome Treatment. 89 should only be used for claims with a date of service on or before September 30, 2015. D12. The gas trapped in the descending colon and splenic flexure was demonstrated in every film taken of this patient's abdomen during symptomatic periods. The aim of the study was to evaluate splenic glucose metabolism in macrophage activation syndrome (MAS), characterized by overwhelming systemic inflammation. This syndrome has been recognized as a type of irritable bowel syndrome [ 3 ]. 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. THE SPLENIC FLEXURE SYNDROME Postgrad Med J. 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 ]. Hepatic and or splenic flexure, this is curves in your bowel, hepatic located on the right side and splenic on the left side. Broccoli. The amount of gas in the transverse colon seems to be related with functional. Lift your right arm and left leg off the floor. Splenic flexure syndrome. ICD-9-CM 569. Applicable To. Left upper quadrant pain can originate from the chest, diaphragm, abdomen, peritoneum or general medical conditions. A knowledge of splenic anatomy may be necessary in order to guide the radiological diagnosis. Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie syndrome, most commonly affects the large intestine from the cecum to the splenic flexure. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. Coding Guidance. Ischemic colitis (also spelled ischaemic colitis) is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. 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. There is a sharp downward turn called the splenic flexure, and it is referred to as the descending colon as it runs from the left upper quadrant to the left lower quadrant of the abdomen. In the modern-day, it has become a mainstay to operate laparoscopically,. 2 These factors lead to capsular avulsions and lacerations of the spleen. Splenic flexure syndrome is pain in and around the left colic flexure possibly as a result of colonic muscle spasms or trapped gas. The splenic flexure is situated next to the spleen and a section of the large intestine or colon. • Ninety-nine percent of cases are chronic hyperventilation syndrome (modest increase in respiratory rate or tidal volume). Injuries to the colon near the splenic flexure can cause blood loss or low blood pressure. The most likely mechanism is tension on the splenocolic ligament or on pre-existing adhesions due to manipulations of the colon, or as a result of a direct injury to the spleen during passage through the splenic flexure. excessive gas or flatulence. Splenic flexure syndrome. 3. It is also known as small left colon syndrome or functional immaturity of the. Introduction. Lift up through the balls of your feet. The male-to-female ratio is 2:1. Over time, aneurysms may grow. Dr. Other symptoms and signs of the so called splenic flexure syndrome include: Distension of the upper abdomen, which can be tender to touch or not. On the other hand, the SFS symptoms are very nondescript, IMO, and are common among countless other disorders, illnesses and. Avoid constipation: Eating a well-balanced diet with plenty of fiber and normal bowel function with exercise should be helpful. Your intestine is no longer able to contract and move its contents. is seen more often in men and in people under 65. However, a. has tumors that grow along the wall of the colon. Splenic infarction refers to occlusion of the splenic vascular supply, leading to parenchymal ischemia and subsequent tissue necrosis. The. Pseudo-obstruction can be acute or chronic. Musculoskeletal pain. It is relatively rare and represent only 1–8% of all colon cancers 2, 3. That's pretty. 3% P < 0. Emergency surgery is usually needed as a life-saving treatment after a traumatic spleen. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L34912 Genetic Testing for Lynch Syndrome. Legs are perpendicular to the floor. , in pancreatic cancer or due to antiphospholipid syndrome) Hematologic disorders (e. The splenic flexure is the last and highest positioned flexure in the colon. Splenic flexure: This is the sharp bend between the transverse colon and the descending colon. Diagnostic procedures may include chest X. What are the symptoms, causes, and exercises for splenic flexure syndrome? Introduction. 4. Take two walks and drink 2 l a day waterLack of oxygen or poor hydration from running or strenuous exercise are also among the reasons. THE SPLENIC FLEXURE SYNDROME. If mistaken for pneumoperitoneum, it can lead to unnecessary surgical intervention. The other possibilities need to be addressed first however. Epidemiology Seen in 3% of neonates with structural heart disease and in 30% of patients who die from cardiac malposition. Splenic Flexure. Save Share. PMC2482946. 1, 2 The spleen is also a. Take two walks and drink 2 l a day waterThe imaging diagnosis of splenic flexure syndrome. 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 []. 86%), at the splenic hilum level in 11 patents (7. Practice Essentials. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Overwhelming post-splenectomy infection. If there is any doubt as to the aetiology of large bowel obstruction it should be further. Can't even pass gas when system shuts down. Splenic-flexure syndrome is a chronic disorder producing symptoms of pain that appears to be caused by trapped gas in the splenic flexure or bends of the colon. The small bowel mucosa is more sensitive to ischemia as compared to. Given its rarity, this makes the condition difficult to diagnose, and subsequently result in delays in treatment. Here we present a case report of this unusual condition in a 7-year-old girl. Dr. Synonym(s): lienal , splenetic (1) The CT scan showed significant signs of inflammation in my transverse colon and splenic flexure. その結果、周囲の臓器に圧力がかかり. 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 . Warm autoimmune hemolytic anemia (AIHA) in adults. The descending colon lies on the posterior abdominal. Language Label Description Also known as; English: irritable bowel syndrome. THE SPLENIC FLEXURE SYNDROME. This topic provides an overview of normal splenic size and function and an approach to evaluating splenic abnormalities in adults. As a library, NLM provides access to scientific literature. 474767, member: 654943"] Found this: To code Lynch Syndrome, you should report V84. It's thought to be a sub-type of IBS. Most hamartomas are a mixture. 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). Surgery involving the large artery that pumps blood from your heart to the rest of your body. constipation. 32 ). Its vascularity, location, and functions make the spleen susceptible to several conditions that may be challenging to evaluate and treat. , sickle. 8. Most hamartomas are a mixture. Sure enough, the study by Akiyoshi identified SFM as an independent predictor of difficulty of laparoscopic surgery for left-sided colon cancer and so of longer operative time on multivariate analysis []. Obstruction of the splenic artery or its branches → splenic infarction; Associated risk factors include: Hypercoagulable states (e. For this stretch, kneel on the floor and rest your bottom on the heels of your feet. Similar symptoms caused by ordinary gas attacks are relieved by passing gas by mouth or by rectum. 148 No abstract available. You should talk to your physician to see if MiraLAX. Fig. I'm a loss, because from what I've been reading on other forms this type of pain is almost constant and lasts for years. 52 vs 2. If there’s time, you’ll be advised to have a series of immunisations before. Objective To explore the imaging findings of splenic flexure syndrome,and try to improve the diagnosis ability. Traditionally, SFCs are defined as tumors located within. Background: The techniques of robotic splenic flexure mobilization in the colorectal surgery setting are not well defined and have been challenging due to limited range of motion of the second-generation robotic platform in multiple quadrants. vomiting. It is characterised by excessive pain, abdominal spasms, bloating, change in bowel movement etc. Left-sided colitis – extends as far as the splenic flexure (the turn where the transverse colon and descending colon meet) Extensive colitis – extends beyond the splenic flexure, but not into the colon. The splenic flexure was above the hilum of the spleen in 95 patients (67. 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; Certain cases of partial heart block associated with vagal activity Splenic-flexure syndrome. Your splenic flexure is situated adjacent to your spleen. This is a **very** physically painful problem in upper LEFT ab just slightly below the lowest LEFT SIDE rib. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure. it is likely that the. Left-Sided Colitis. 17. Surgery to remove the spleen. Learn how we can help. Roentgen examination of the gastrointestinal tract following a barium meal revealed a gas-distended loop of bowel, the splenic flexure of the colon, occupying the left upper quadrant of the abdomen (Fig. The passing of the splenic flexure is usually tackled with the patient in supine position (fig. The patient is placed in lithotomy position with right side. 32 ). 473. Brussels sprouts. Splenic flexure volvulus is a rare disease with less than 25 cases reported in the English literature. the results of the following examinations. 4. The imaging diagnosis of splenic flexure syndrome. 1965 Mar;41(473):148-50. 32 ). Doc suggested it may be an issue with my splenic flexure. Workup of this clinical case revealed anomalous colonic anatomy, which led to successful laparoscopic. 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. Similarly, these syndromes must be differentiated from other disorders that may mimic coronary artery disease, a partial list of which includes esophageal spasm, hiatal hernias, biliary disease, ulcerative disease of the stomach or duodenum, the splenic flexure syndrome, the hyperventilation syndrome, pulmonary embolism, pleurisy. This also related that. The colic imprint is from the splenic flexure of the colon. often presents with constipation, narrow stools, and other bowel habit changes. causes bowel obstructions more often than right-sided colorectal cancer. Causes of Splenic Flexure Syndrome Splenic flexure syndrome is a very common cause of left upper abdominal pain. Many people have gas build-ups from time to time. 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. , a vago-sympathetic pathway through the spleen . Fecal incontinence. It relaxes the colon so that the. abdominal pain and tenderness. Colonoscopy was done in four runners. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. Posted by musicbart @musicbart, Apr 26, 2022. The tail of the pancreas leaves an impression between the hilum and colic impression sites. It is near the liver. 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 splenic flexure lies at a higher level compared with the hepatic flexure (Fig. 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. We describe the case of SFV diagnosed and treated laparoscopically in the non-volvulus condition.