Certainly both of them are very similiar. I've felt every single one of those symptoms over the years, yet I have no chronic condition. The vagus nerve is parasympathetic and innervates the upper segments of the GI tract up to the splenic flexure. Splenic Flexure Syndrome. 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. Corpus ID: 75950487. It is roughly the size of an individual’s fist, measuring. Come join the discussion about treatment, diet, health, lifestyles, spirituality, medication, research,. Asplenia (the congenital or acquired absence of the spleen) and hyposplenism (defective spleen function) are common causes of morbidity and mortality. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. abdom xray, ultrasound neg. In patients at high risk for conversion, this can be done first to determine if conversion is needed. Overthinkingnotdrinking · 26/01/2023 16:22. Since you have been diagnosed with IBS, it could be splenic flexure syndrome. General Discussion. The descending colon lies on the posterior abdominal. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the. We report a highly unusual case wherein gastroparesis presented early after heart-lung transplantation and was managed conservatively. g. contrast-enhanced CT demonstrates a low-density spleen. Irregularities of the bowel caused by splenic flexure syndrome (SFS) may manifest as diarrhea or as constipation. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. rectal spasms. For the most part, I have been very lucky and my pain has been manageable and I've gotten so used to it. Your Splenic Flexure is where your transverse colon turns a sharp corner. Splenic flexure syndrome occurs when gas builds up or becomes trapped in your colon. 4%) underwent extended right hemicolectomy, 24 (23. El dolor se localiza básicamente en la zona superior de nuestro abdomen. Posted January 8, 2019. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality rates. 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. SFV can be categorized into both primary and secondary etiologies. From October 2005 to May 2014 minimally invasive approach was proposed to all patients with histological diagnosis of splenic flexure. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. . S1). This happens when gas builds up or becomes trapped in the colon. Diazepam is a benzodiazepine (Benzo) and is highly addictive. Reply Quote. Splenic flexure mobilization (SFM) is one of the most difficult steps in laparoscopic colorectal surgery and its role is harshly debated. The pelvic splanchnic nerves carry parasympathetic fibers from the S2-4 spinal cord levels to the descending colon and rectum. Treatment consists of medication for irritable bowel and diet. 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. Introduction. However, acute hypoxia exposure could be shorter and more severe when oxygen systems fail during, e. PMC2482946. Low anterior resection, rectosigmoid, with primary anastomosis with EEA stapler. Quantitative measurements fail to support this claim. fever. We are a group of gastro coders and was wondering if anyone has any information as to splenic and hepatic flexure polyp removal codes. Overwhelming post-splenectomy infection. 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). The splenic flexure is situated next to the spleen and a section of the large intestine or colon. 5 for Malignant neoplasm of splenic flexure is a medical classification as listed by WHO under the range -Malignant neoplasms of diges. Created for people with ongoing healthcare needs but benefits everyone. The woman denied that there had been any undue loss with her periods from that time until the present episode, and also denied having any abdominal pain. Splenic macrophages have a major role in phagocytosing bacteria and aging blood cells from the circulation. It is the embryological junction point between the midgut and hindgut, and is the watershed of two circulations so that it is the border where the circulations of the SMA and IMA meet. : 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. Its vascularity, location, and functions make the spleen susceptible to several conditions that may be challenging to evaluate and treat. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. 32 ). . Background Splenic injury as a result of colonoscopy is rare but may be underreported and cases may remain undetected. Splenic flexure volvulus is a rare but serious cause of large bowel obstruction. However, after three months, I had to double the dose to 4mg a day. Hello, I haven't been on this forum for a while, but I'm back with another "flare up. It is relieved by manipulation and anti-gas treatment. At the time, I'd been diagnosed as having irritable bowel syndrome. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Methods Review of the literature and analysis of 93 cases, including a new case report. Structure Right colic flexure. Gas is a normal and healthy part of the digestion process. i have chronic constipation. El dolor se localiza básicamente en la zona superior de nuestro abdomen. Lillie’s Benicar caused splenic flexure syndrome is a condition characterized by pain and discomfort in the upper abdomen that results from muscle spasms in the splenic flexure, a part of the colon found between the transverse colon and the descending colon. 5 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of splenic flexure. 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. Given its rarity, this makes the condition difficult to diagnose, and subsequently result in delays in treatment. Have you considered splenic flexure syndrome. 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. Surgery was done for splenic pus drainage. Reversible splenial lesion syndrome (RESLES) is a clinico-radiological entity that defines a reversible lesion in the splenium of the corpus callosum (SCC) on magnetic resonance imaging (MRI). 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 volvulus is a rare but serious cause of large bowel obstruction. Hepatodiaphragmatic interposition of the intestine, or Chilaiditi syndrome, is uncommon. ectopically located or malpositioned spleen. . A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. . During this process, I get on the floor and massage the lower right side as there is a great deal of. Citation, DOI, disclosures and article data. 11:56. Symptoms of this disease included Pain in upper-left side of abdomen, fever, abdominal cramps, bloating, and colon spasms, constipation or diARGHhea. The Benzo clonazepam is much more effective. 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]. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality rates. The relevent history was of admission for the investigation of an iron-deficiency anaemia 4 years previously. 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). This occurs when the gallbladder becomes inflamed, often due to a gallstone blocking the. v. It is thought to be caused by an abnormal build. 2 Volvuluses are localized in the sigmoid (65-80%), but they may also involve right (15-30%) and transverse colon (2-5%). 02. IBS is one of the more common causes of increased gas. I've lost 36 lbs since it started. Diagnosing. Right colectomy refers to the resection of a portion of the distal ileum, cecum, ascending colon, and proximal to mid-transverse colon. Currently there are no standardized techniques for splenic flexure. Treatment is basically the same as for gas & IBS. One day I will translate this to English to thank you for her pool of knowledge resource I have been using. Small bowel obstructions following an episode of acute pancreatitis are even less documented in the literature, and tend to be the result of retroperitoneal inflammation. This is caused by gas and known as 'Splenic flexure syndrome'. Its location is what makes you feel as though you have a pain in that specific area. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. ? LUQ pain: Most of organic cause of pain ruled out could be due to constipation or muscular. Extended right or left hemicolectomy are the most common surgical treatments for splenic flexure colon cancer. 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. The inferior splenic margin is blunted, descending. Patients typically present with. Splenic flexure is ligament-fixated to the abdominal wall in most. 41 (473); 1965 Mar. 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. 4. Author J SHAFAR. The proctor can watch the trainee surgeon and point out to them the right plane of dissection, or draw the right plane on the screen. A detailed stepwise approach to splenic flexure mobilization will be shown here, as part of an anterior resection with splenic flexure takedown for a proximal. Diverting loop ileostomy 6. asplenia syndrome. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. 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. 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 ]. Ischemic colitis (also spelled ischaemic colitis) is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. 6, 7, 8 Despite this, some have suggested that an oncologic low ligation of both the left branch of the middle. No movement for hours (or a few days) coupled with severe pain. 4. Introduction. C18. 86%), at the splenic hilum level in 11 patents (7. Instead, there is often a nerve or muscle problem. Splenic flexure volvulus wasconfirmed at surgery. Splenic parenchyma is divided into two zones based on microscopic histology, i. I have mild to severe gastroparesis depending on the day and also a severe narrowing at the splenic flexure. 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 splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Feedback Complete Survey Survey. The severity and frequency of the pain attacks decreased from once a week to once a month. for bloating and specifically for bloating caused by splenic flexure syndrome. These disorders can make you feel bloated, even when you are not. , the central white pulp containing lymphocytes, and the peripheral red pulp, made of tortuous venous sinuses that entrap red blood cells. 6082 Views 2 Replies 2 Participants Last post by bumtumtum, Sep 9, 2010. However, after three months, I had to double the dose to 4mg a day. This website requires cookies, and the limited processing of your personal data in. . Basically my transverse colon got completely displaced and is pushed up against my spleen and diaphragm. 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. fever. Shaban Faruqui: Chilaiditi's sign: Pain in IBS may be focal at the splenic flexure or. Splenic flexure volvulus is an extremely rare cause of intestinal obstruction with possible severe complications. 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. Background and Objectives: Splenic flexure mobilization (SFM) is performed to ensure a tension free anastomosis with an adequate resection margin in laparoscopic anterior resection (AR) or low anterior resection (LAR). CT demonstrated that the splenic flexure of the colon was interposed between the spleen and the left kidney anteriorly and left dome of the diaphragm posteriorly. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Colorectal cancer (CRC) is one of the most common gastrointestinal malignancies (). Irritable Bowel Syndrome. Learn how we can help. Splenic flexure syndrome. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. Many blood vessels come together at the splenic flexure, so the area is important for blood flow. Gas is a normal and healthy part of the digestion process. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. SFV can be categorized into both primary and secondary etiologies. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Read More. SFV was first reported in 1953 by Glazer and Adlersberg et al. Abdominal bloating/distention. Irritable bowel syndrome is a motility disorder. Intrapancreatic accessory spleen (IPAS) may mimic pancreatic neoplasms, but requires no further treatment. If there's time, you'll be advised to have certain vaccinations before the operation. Objective To explore the imaging findings of splenic flexure syndrome,and try to improve the diagnosis ability. A forum. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. A team of colorectal surgeons at China Medical University Hospital adopted a standardized approach to laparoscopic rectal surgery particularly simplifying the steps involved in. 2 years ago • 5 Replies. Takedown, splenic flexure. Journal List. 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 []. Injury to the left side of the body. Come join the discussion about treatment, diet, health, lifestyles, spirituality, medication, research, recovery, and more!Nov 30, 2015. Since the splenic flexure is a bend in the colon, gas can build up in that area. Postgrad Med J. Pain from presumed gas pockets in the splenic flexure may masquerade as anterior chest pain or left upper quadrant abdominal pain. Splenic Flexure, Descending and Sigmoid Colon, Left Half of Transverse Colon, Rectosigmoid and Rectum. It is important to known that trapped gas can occur at both bends of the colon and is therefore referred to as either hepatic flexure syndrome at the right bend or splenic flexure syndrome at the left bend. A total of 103 patients treated with surgery for splenic flexure cancer were included in the study: 22 (21. thought splenic flexure syndrome, but not gassy. i mentioned this to both my gastro and his PA and they both said that some people do have problems like mine in. Abstract. It carries 75% mortality by age 5 though. 8. 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]. Toggle navigation eHealth Me. Mine is like an ache right at the bottom-left of the rib cage just left of the solar plexus. However, this syndrome is really rare among children. It can also be caused by obstruction. A common symptom of splenic flexure syndrome is the pain and discomfort that you experience in the upper left abdominal area. 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. Chen Yi-lei. Splenic abscesses in dogs are rare. I'm a 27 year old female and have had symptoms since I was 14. The splenic flexure, the highest-reaching segment of the colon, may become distended as the gas rises to fill it. Fig. 17. The descending colon lies on the posterior abdominal. The syndrome occurs when the colon becomes twisted or kinked at. , the splenic flexure and the rectosigmoid junction) are at high risk for ischemia. Moderator: Heather Print Thread. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Concomitant rectosigmoid spasm may also prevent the normal release. The incidence rate of splenic abscesses has indicated less than 1. #2 · Mar 19, 2013. Advertisement. Subtotal colectomy was more often performed by laparotomy compared with splenic flexure colectomy and left hemicolectomy (93% vs 61% vs 56%, p < 0. 80 ±. , in pancreatic cancer or due to antiphospholipid syndrome) Hematologic disorders (e. Laparotomy revealed a massively dilated stomach and total avulsion of the splenic capsule with hemorrhage. PMID: 14266688 PMCID: PMC2482946 DOI: 10. Here we report a case of a child with syndrome of the splenic flexure of the colon. There wasnoischemia andnomention ofunusual mobility ofsplenic flexure. The anterior aspect of the abdominal wall is made. Since the 1970 there have very few if any scientific articles published on this syndrome. Postgrad Med J. I definitely get that kind of pain, and then I can feel when the air is moving to the intestines and causing pain in lower parts of stomach. Splenomegaly in children. Please note that the simple action of having the glycerine suppository in my anus causes a bowel movement. This retrospective study was performed to determine the amount of colonic redundancy that can be expected by SFM. 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. A 14-year-old boy with no medical history had severe left upper abdominal pain and. For the most part, I have been very lucky and my pain has been manageable and I've gotten so used. The splenic flexure is the bend where the transverse colon and descending colon meet in the upper left part of your abdomen. This is the first report of splenic flexure volvulus in which. Doc suggested it may be an issue with my splenic flexure. THE SPLENIC FLEXURE SYNDROME. If you see. 6 Malignant neoplasm of descending colon C18. La hinchazón también se observa como el signo más frecuente del síndrome del ángulo. In conclusion splenic flexure syndrome is gas build up in the area of the colon called the splenic flexure. Published on May 10, 2017. 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. The most common site for volvulus is the sigmoid colon followed by the caecum, splenic flexure is the least common site with only 1-3% of cases. com I was reading that some doctors say that Splenic Flexure Syndrome is a type of IBS whereas others say it is a seperate condition. John Munshower and 3 doctors agree. 5. values ± SD were 0. Although reports of rupture during diagnostic colonoscopies have been reported, polypectomy at the splenic flexure appears to increase the risk of splenic injuries substantially. Come join the discussion about treatment, diet, health,. Check out splenic flexure syndrome. Los siguientes son los signos y síntomas acompañantes del síndrome: Distensión abdominal . Introduction Syndrome of the splenic flexure of the colon is caused by congenital splenic colon curvature with excessively high fixed points, a lengthy transverse colon, and. I still experience it. Since the splenic flexure is a bend in the colon, gas can build up in that area. Without obstruction: splenic flexure syndrome is a collection of symptoms from gas trapped at the upper left abdominal area: can cause cramping and spasm. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. 1, 2 The spleen is also a. 32 ). 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. g. Experience with. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. The spleen is found in the left hypochondriac region of the abdomen (left upper quadrant). In this fixed position the splenic flexure is unlikely to undergo torsion [14–21]. Corpus ID: 75950487. The evaluation of splenomegaly in children and considerations related to elective or traumatic splenectomy are discussed separately. Incomplete volvulus of the splenic flexure is a cause of recurrent abdominal pain, but no effective treatment other than. Splenic flexure syndrome is a type of IBS that causes gas to be trapped and then forcibly sent into the colon. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. Gurgling in the large intestine may be associated with these processes. e. Splenic-Flexure Syndrome Treatment. Interesting you'd mention this. Chest pain: Feeling of fullness: Cramping or sharp abdominal spasms: Bloating or abdominal distention: Flatulence or excessive gas: Belching:. Gas can get trapped within the splenic flexure, causing further pain and discomfort. Aim: To investigate phenotypical and clinical characteristics in individuals with high fixation of the splenic angle (HFSA). The 2024 edition of ICD-10-CM D12. Coronary artery insufficiency had been suspected but could not be confirmed. Save Share. the results of the following examinations. The following symptoms may be experienced with cecal volvulus: ballooning abdomen (abdominal distension) constipation. It is also known in medical terms, as the “left colic flexure”. It is the highest point your colon reaches in your. " Answered by Dr. Anastomosis donuts COMPLICATIONS: None. 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. Results Neither a history of abdominal surgery nor performance of a biopsy seems related to an increased incidence of splenic injury. If anyone tries this and it helps, will you post so I can find out if I'm on the right track. Doc suggested it may be an issue with my splenic flexure. 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 ⇓). My doctor thought it was stomach pain but upon further research the symptoms are more like splenic flexure syndrome. RESULTS: The most performed surgery was splenic flexure colectomy (59%), followed by subtotal colectomy (23%) and left hemicolectomy (18%). 4. A person with a first. 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. Open SFM is challenging due to anatomic position. ICD-10 code C18. The liver is the second largest organ weighing around 1500 g, which accounts for 2. 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. 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. Try using simethicone tablets like Phazyme-125 or Extra Stength or Gas-X. Bloody stools can be a sign of serious damage to the colon. Barium enema study showed obstruction atthesplenic flexure with evidence ofvolvulus (fig. The radiologic anatomy of the patient's. Some people can get mainly constipation and others mainly diarrhoea, whilst others alternate between the two. The gas trapped in the descending colon and splenic flexure was demonstrated in every film taken of this patient's abdomen during symptomatic periods. Step 1-I then use about 8 glycerine suppositories and these make more watery stool come out. Since the mid-1970s, 68 splenic injuries during colonoscopy including our 2 cases have been described. However, 19 days postoperatively, the patient developed acute abdominal pain and hypotension. Given its rarity, this makes the condition difficult to diagnose, and subsequently result in delays in treatment. Los siguientes son los signos y síntomas acompañantes del síndrome: Distensión abdominal . The clinical and radiological characteristics of RESLES are poorly defined and most RESLES literature is in the form of case reports. Try using simet. Feb 3, 2021 • 12:17 PM. Fig. splenic vascular pedicle demonstrates a whirlpool configuration, pathognomonic feature 12. We reviewed the. Physical exam revealed a protuberant abdomen with tympany and. The splenic flexure is the junction between the transverse colon and the descending colon and is usually the most cranial portion of the colon. - One trick to relieve pain in the upper left quadrant is to lie flat on your back and rasie your buttocks so they are higher than your abdomen. Splenic hamartomas can be associated with syndromes—namely, tuberous sclerosis and Wiskott-Aldrich-syndrome. The male-to-female ratio is 2:1. Certainly both of them are very similiar although SFS is predominantly to do with gas pain. To view all forums, post or create a new thread, you must be an AAPC Member. 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. Journal List. The presence of congenital heart diseases increases mortality rate. 11:56. Anyway, if you have an enlarged liver and spleen, at the very least, have you had any scanning done? either ultrasound or CT?Conclusions: An intact splenic flexure and mesenteric vessels were the most prevalent in patients who underwent reoperation at our institution. an air-fluid level with splenocolic fistula was found on CT scan imaging. It is most commonly encountered in older adults with. I eventually got into a Gastro doc and he ordered blood tests and stool test. PMC2482946. diarrhea. Any cause of increased splenocolic. Bookmark Pandacub7 · 02/08/2020 18:54 @Sebw I’ve just looked into that and the symptoms do sound very familiar. The splenic. 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 ). I sometimes can't tell if I'm in pain or hungry. Abscess formation is among the rare complications. Narrowing at the splenic flexure, accompanied by distension of both the large and small bowel, was described in 1957. Warm autoimmune hemolytic anemia (AIHA) in adults. Asplenia refers to absence of the spleen thereby leading to deficient splenic function. hi! I'm new to this IBS with Constipation thing. Every piece of blood work and inflammatory markers came back perfect. A redundant sigmoid colon could lead to sigmoid volvulus. Splenic or Hepatic Flexure Syndrome. Examination is otherwise normal on direct and retroflexion views. Try using simet. Some watery stool comes out. No or too few reports of Distention of the colon's splenic flexure are found in people who take Apple cider vinegar. Pediatr Surg Int, 22(10):833-835, 11 Jul 2006 Cited by: 6 articles | PMID: 16832673Splenic flexure syndrome is a motility problem where gas becomes trapped in the splenic flexure, the loop of bowel located where the transverse colon turns upward near the spleen (below the left ribs) before turning downward to the descending 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. 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).