Abstract. Splenic flexure syndrome is a disorder characterized by. The following anatomical sites found in the Table of Neoplasms. 22 Food protein-induced enteropathy K52. However, 19 days postoperatively, the patient developed acute abdominal pain and hypotension. The descending colon lies on the posterior abdominal. 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. In recent years, however, several studies have questioned which type of resection would provide the best surgical and. mostly on the left but at times right in the center of my abdomen but never the right. What causes right upper quadrant pain on splenic flexure? Ulq pain, when slouching, press just below l ribs and can feel a "pop. []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. It is the highest point your colon reaches in your. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Corpus ID: 75950487. However, after three months, I had to double the dose to 4mg a day. Incomplete volvulus of the splenic flexure is a cause of recurrent abdominal pain, but no effective treatment other than. Splenic-flexure syndrome often accompanies IBS. Citation, DOI, disclosures and article data. Malignant neoplasm of splenic flexure C18. Diagnosing. Splenic Flexure Volvulus (SFV) is rare and accounts for only 1-2% of all colonic volvulus, with approximately 50 cases being described in the literature. Sigmoid colon and partial rectum 2. The purpose of this review was to define the imaging features of colonic pseudoobstruction and to describe the pathologic findings. weight loss. noun. Epidemiology Seen in 3% of neonates with structural heart disease and in 30% of patients who die from cardiac malposition. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. Six cases of splenic flexure volvulus were studied over a 14-year period. 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. Laparoscopic splenic flexure mobilization (SFM) is recommended in order to achieve a tension‐free colorectal anastomosis [1,2], an adequate oncological resection for splenic flexure tumours and. 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 [ 2 ]. 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. 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。. 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. Five of the six patients were mentally retarded, lifelong residents of a long-term-care institution. Given the fact that, less than 100 cases have been reported in the literature, this diagnosis is rarely. Causes of the reduced blood flow can include. Surgery to remove the spleen. . Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. Journal List. . 일반적으로 공기는 정상적으로 장관. mostly on the left but at times right in the center of my. If you see. Methods: This report describes a novel technique for robotic splenic flexure mobilization with medial-to-lateral approach. Abdominal Pain. 95 ± 0. Splenic or Hepatic Flexure Syndrome. Try to lie down on your left side. This is caused by gas and known as 'Splenic flexure syndrome'. RADIOLOGICAL and clinical evidence of largebowel obstruction in pancreatitis has been infrequently reported in the literature. Right colectomy refers to the resection of a portion of the distal ileum, cecum, ascending colon, and proximal to mid-transverse colon. 11:56. A person with serrated polyposis syndrome is at high risk for malignancy therefore surveillance colonoscopy is recommended every 1-3 years. I did some research and the condition is called splenic flexure syndrome. 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. The syndrome occurs when the colon becomes twisted or kinked at. 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. Heart Palpitations – The heart beats irregularly and it becomes difficult to keep your eyes open when you sleep. Examination is otherwise normal on direct and retroflexion views. Your Splenic Flexure is where your transverse colon turns a sharp corner. an air-fluid level with splenocolic fistula was found on CT scan imaging. Ischemic colitis (also spelled ischaemic colitis) is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. 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. The exact cause of splenic flexure syndrome is unknown. Gas trapped in the bend of the colon lying near the spleen (splenic flexure) can cause pain in the left upper abdomen or in the left lower chest. Routine laboratory studies were within normal limits. Splenic Flexure – WebMD. Journal List. (1,2)Acute cholecystitis, or a gallbladder attack, can also cause severe and steady pain in the right ribs. I’m absolutely beside myself with anxiety. Overthinkingnotdrinking · 26/01/2023 16:22. Splenic flexure is ligament-fixated to the abdominal wall in most. 88%), between the hilum and lower pole of the spleen in 12 (8. 5 for Malignant neoplasm of splenic flexure is a medical classification as listed by WHO under the range -Malignant neoplasms of diges. The length (infero-superior) of the normal adult spleen is less than 12 cm. I feel that it is helping with the spasms, and the pain. Dilatation of the ascending and transverse colon with distal collapse can be seen in both ACPO and chronic colonic pseudo-obstruction. The neonatal small left colon syndrome (NSLCS) is an uncommon condition characterized by an abrupt intestinal caliber transition at or near the splenic flexure and colonic obstruction. CT. 148. The symptoms of splenic flexure syndrome include bloating, pain in the upper left abdomen, and a feeling of fullness in the abdomen. This would contribute to the sounds and pain in the chest area. The aim of the study was to evaluate splenic glucose metabolism in macrophage activation syndrome (MAS), characterized by overwhelming systemic inflammation. Left-Sided Colitis. the problem I have is. 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 ]. The first case of a splenic flexure volvulus was reported by Glazer and Adlersberg in 1953. Tumors located in this region often present late in advanced stages, most commonly with obstructive symptoms []. There's a kink in your large bowel just there that can get gas build up. Created for people with ongoing healthcare needs but benefits everyone. Emmertsen, K. Forum . Its vascularity, location, and functions make the spleen susceptible to several conditions that may be challenging to evaluate and treat. Thus, it is accepted that splenic tumors of vascular origin develop particularly in the red pulp and therefore in the. The radiologic anatomy of the patient's. Objective To explore the imaging findings of splenic flexure syndrome,and try to improve the diagnosis ability. i mentioned this to both my gastro and his PA and they both said that some people do have problems like mine in. There is nothing blocking the intestine. . Methods. Splenic flexure syndrome occurs when gas builds up or becomes trapped in your colon. Feb 3, 2021 • 12:17 PM. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality rates. Corpus ID: 75950487. The pelvic splanchnic nerves carry parasympathetic fibers from the S2-4 spinal cord levels to the descending colon and rectum. 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. I sometimes can't tell if I'm in pain or hungry. Injuries to the colon near the splenic flexure can cause blood loss or low blood pressure. Blood in your stool may be bright or dark red. Read More. Reply Report. Not exactly: Splenic flexure syndrome is a term used to describe bloating, muscle spasms of the colon, and upper abdominal discomfort thought to be caused by trapped gas at the splenic (on the left side) flexure in the colon. Mortality rate of the SFV cases is low. 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 []. low-dose antianxiety med, too, I guess. cervical flexure a bend in the neural tube of the embryo at the junction of the brain and spinal cord. 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). My doctor referred me to a gastroenterologist who gave me a colonoscopy and gastroscopy and the verdict was. 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. This case report sh ows th at SFV, despite its i nfrequency, should be con sidered aBackground: Splenic flexure mobilization (SFM) increases left colonic reach for a better vascularized and tension-free anastomosis. Colorectal cancer (CRC) is one of the most common gastrointestinal malignancies (). . [ 1] The infarct may be segmental, or it may be global, involving the entire organ. Factors such as the interruption or absence of peritoneal attachments and redundant colon with a long. Save Share. A number of situations can cause the likelihood of having splenic flexure syndrome including food, poisoning, air and disease. SFV was first reported in 1953 by Glazer and Adlersberg et al. 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. I have mild to severe gastroparesis depending on the day and also a severe narrowing at the splenic flexure. Splenic flexure syndrome anybody??? OK, I found something on the net called splenic flexure syndrome, which apparently sounds like gas or something is. 3 thanks. Splenic Flexure Syndrome. How to say splenic flexure in English? Pronunciation of splenic flexure with 3 audio pronunciations, 1 meaning, 13 translations and more for splenic flexure. Posted January 8, 2019. Abstract. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. DEUTSCH DL, SCOTT NM. Performing the flexure release as the initial step of the operation can minimize incision length if conversion were needed later. Minimally invasive SFM improves visualization and minimizes splenic traction. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. Splenic flexure: This is the sharp bend between the transverse colon and the descending colon. The axial abdominal computed tomogram shows a shouldered colonic stricture at the hepatic flexure (fig 2 ⇓). Similar symptoms caused by ordinary gas attacks are relieved by passing gas by mouth or by rectum. Your Splenic Flexure is where your transverse colon turns a sharp corner. Some foods are known to aggravate the pain; the reason why diet modification is also recommended to minimize the incidence of pain episodes. If the gas build-up too much, you can get “splenic flexure syndrome”. La hinchazón también se observa como el signo más frecuente del síndrome del ángulo. 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. Please note. THE SPLENIC FLEXURE SYNDROME. g. 2 Volvuluses are localized in the sigmoid (65-80%), but they may also involve right (15-30%) and transverse colon (2-5%). 4516-20. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. Splenic Flexure. Since the splenic flexure is a bend in the colon, gas can build up in that area. Traditionally, SFCs are defined as tumors located within. One day I will translate this to English to thank you for her pool of knowledge resource I have been using. For me i think it is called splenic flexure. Try using simethicone tablets like Phazyme-125 or Extra Stength or Gas-X. Save Share. Ultrasound is considered to be the diagnostic imaging modality of choice for assessing the feline spleen, enabling splenic contour, size and parenchymal echogenicity and echotexture to be evaluated. 02. 6, 7, 8 Despite this, some have suggested that an oncologic low ligation of both the left branch of the middle. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Splenic Flexure, Descending and Sigmoid Colon, Left Half of Transverse Colon, Rectosigmoid and Rectum. Esto se debe principalmente a la mayor cantidad de gas en el ángulo esplénico. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. I have IBS and have this a lot, just assume it is a bowel thing. Splenic flexure mobilisation (SFM) is one of the fundamental surgical steps during colorectal procedures. It's thought to be a sub-type of IBS. This leads to the formation of the splenic abscess. 11:56. Add messageSplenic injury is a rare but serious complication of colonoscopy. . Without obstruction: splenic flexure syndrome is a collection of symptoms from gas trapped at the upper left abdominal area: can cause cramping and spasm. 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. hi! I'm new to this IBS with Constipation thing. For the present analysis, SFC patients were selected if. Try using simethicone tablets like Phazyme-125 or Extra Stength or Gas-X. We know we are lead in our ICD 10 manual to code them as part of the transverse colon under the code D12. The splenic flexure is the bend where the transverse colon and descending colon meet in the upper left part of your abdomen. The tail of the pancreas leaves an impression between the hilum and colic impression sites. 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. Citation, DOI, disclosures and article data. Splenic-flexure syndrome often accompanies IBS. C18. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. [3, 4] It is clearly always associated with Chilaiditi's sign. 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. At first, his doctors thought he might be suffering from splenic flexure syndrome, in which gas gets trapped in one of the curves of the intestines. Without obstruction: splenic flexure syndrome is a collection of symptoms from gas trapped at the upper left abdominal area: can cause cramping and spasm. Treatment consists of medication for irritable bowel and diet. Splenomegaly is the medical term for an enlarged spleen. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Introduction. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. An injured spleen can rupture soon after the stomach trauma or, in some cases, days or weeks after the injury. These points are retroperitoneal and are. Background The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the. Splenic flexure syndrome or chronic pancreatitis? Really need reassurance and answers! 3771 Views 1 Reply 2 Participants Last post by BrettJeffers, Jul 11, 2018 Jump to Latest N. Every piece of blood work and inflammatory markers came back perfect. 3. After a few hours of not eating the pain and. 32 ). Methods To analyze…. abdominal or rectal pain. Abdominal pain, which can be severe, last for several minutes, and. 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]. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Splenic flexure volvulus is a rare but serious cause of large bowel obstruction. We reviewed the. The splenic flexure is a sharp bend between your transverse colon and more… Refeeding Syndrome Definition This is a medical condition where an individual has endured a considerably long period of starvation. 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. Medical history, physical examination, X-ray can be help in perfect diagnosis. . Chest pain: Feeling of fullness: Cramping or sharp abdominal spasms: Bloating or abdominal distention: Flatulence or excessive gas: Belching:. Come join the discussion about treatment, diet, health, lifestyles, spirituality, medication, research,. Splenic or hepatic flexure syndrome Symptoms. splenic vascular pedicle demonstrates a whirlpool configuration, pathognomonic feature 12. 09 in patients with splenic steal syndrome and 0. 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. Similar symptoms caused by ordinary gas attacks are relieved by passing gas by mouth. More precisely, the spleen is located posterior to the stomach and anterior to the left hemidiaphragm at the level of ribs 9-10. Some people with digestive issues can benefit. for bloating and specifically for bloating caused by splenic flexure syndrome. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. Narrowing at the splenic flexure, accompanied by distension of both the large and small bowel, was described in 1957. 3 became effective on October 1, 2023. Currently there are no standardized techniques for splenic flexure. 5% of body weight. Developer Forum; Europe PMC plus; Search life-sciences literature (42,167,664 articles, preprints and more) Search. Splenic Flexure Syndrome from E-Coli?? So I have been bad stomach issues these last 3 weeks, I actually went to Urgent care twice because of the pain I was in. Since the 1970 there have very few if any scientific articles published on this syndrome. 2. The aim of this muticenter study was to report and compare the different surgical procedures. Feedback Complete Survey Survey. Subtotal colectomy was more often performed by laparotomy compared with splenic flexure colectomy and left hemicolectomy (93% vs 61% vs 56%, p < 0. A total of 103 patients treated with surgery for splenic flexure cancer were included in the study: 22 (21. 4. The anterior aspect of the abdominal wall is made. I'm a 27 year old female and have had symptoms since I was 14. 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. cases of splenic flexure syndrome were various types Fig. Any cause of increased splenocolic. Its inferior margin becomes rounded ( Figs 6. At first, mistake in diagnosis of splenic flexure may be occurring but the experience can begin to grow in intensity. Check out splenic flexure syndrome. trapped gas in splenic flexure area - the worst place! Jump to Latest Follow. The vagus nerve is parasympathetic and innervates the upper segments of the GI tract up to the splenic flexure. 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. If too much gas gets trapped at bends in your colon (called flexures), you may develop a disorder known as splenic-flexure syndrome, per Johns Hopkins Medicine. A total of 1,635 polyps were detected of which 42% were serrated and 13% of those were proximal to the splenic flexure. Although reports of rupture during diagnostic colonoscopies have been reported, polypectomy at the splenic flexure appears to increase the risk of splenic injuries substantially. 41 (473); 1965 Mar. General Discussion. It is also called the left colic flexure. As a library, NLM provides access to scientific literature. My doctor thought it was stomach pain but upon further research the symptoms are more like splenic flexure syndrome. Takedown, splenic flexure. OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) (44213), Note: Robotic splenic flexure takedown. Since the splenic flexure is a bend in the colon, gas can build up in that area. Since the 1970 there have very few if any scientific articles published on this syndrome. It was a sensation that used to come and go at will. Examination at that time had shown no other cause for the anaemia. Splenic flexure volvulus wasconfirmed at surgery. I used to when I was backed up all the time, which isn't surprising with your IBS-C. Advertisement. fever. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. Please note. I've felt every single one of those symptoms over the years, yet I have no chronic condition. 41. Splenic flexure syndrome is characterised by extreme pain over the abdomen due to excessive gas entrapment. i have a lot of pain and bloating and the feeling of trapped gas and stool especially in the splenic flexure area. Accompanying these anomalies, there may be fever, bloating, abdominal cramping, or spasms of the colon. 2. Splenic flexure volvulus is a rare but serious cause of large bowel obstruction. Splenomegaly can cause platelets to pool inside of your spleen and cause. It is near the liver. A 14-year-old boy with no medical history had severe left upper abdominal. Applicable To. Splenic 18 F-fluorodeoxyglucose (FDG) uptake was compared in patients with MAS and sepsis using positron emission tomography/computed tomography (PET/CT). This has not been reported after colonoscopy, but injury to the spleen has been. The splenic hilum contains nerves, splenic vessels, and also contains attachments for the splenorenal and gastrosplenic ligaments. During this process, I get on the floor and massage the lower right side as there is a great deal of. Could be from air filling up the stomach and the pressure pushing on it. The gas that is found in the colon is a mix between that which is swallowed and that which the intestine makes. 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). IBS is called a syndrome because it involves. In fact, it eliminated 80% of my symptoms when I first started taking it at 2mg per day. Author J SHAFAR. There are four types, defined by the location of the inflammation: Ulcerative proctitis – located in the rectum. The gas that is found in the colon is a mix between that which is swallowed and that which the intestine makes. Discussion The splenic flexure is strictly attached to the adjacent organs so its volvulus is rare. Posted by musicbart @musicbart, Apr 26, 2022. Splenic Flexure Syndrome Symptoms Forum. 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 ]. Los siguientes son los signos y síntomas acompañantes del síndrome: Distensión abdominal . 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]. 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. Semantic Scholar extracted view of "Splenic flexure volvulus presenting as proximal small intestinal obstruction. Muscle spasms and abdominal distention are considered as causative of the syndrome. Ive seen a gastro doc who diagnosed me with splenic flexure syndrome. CT scan is the gold standard test in cases of splenic volvulus 7-10. It is thought to be caused by an abnormal build. constipation. Approximately one third of polyps and one half of colorectal cancers occur proximal to the splenic flexure. 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. Crohn's disease, colon cancer, or any disease that causes. The splenic flexure is part of the colon near the spleen and gas accumuates there as it sits high in the abdomen. Its location is what makes you feel as though you have a pain in that specific area. It has multiple aetiological factors with some encountered much more frequently than others. In some cases, splenic flexure syndrome improves and goes away on its own from flatulence or consistent bowel movements. It may be induced experimentally by the introduction and. . Practice Essentials. 3 but does anyone else use a different location code for these two areas. 6082 Views 2 Replies 2 Participants Last post by bumtumtum, Sep 9, 2010. 2011. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. Published on May 10, 2017. Add to quote; Share Only show this. Introduction. 6 Malignant neoplasm of descending colon C18. However, this syndrome is really rare among children. SFV can be categorized into both primary and secondary etiologies. The evaluation of splenomegaly in children and considerations related to elective or traumatic splenectomy are discussed separately. Moderator: Heather Print Thread. INTRODUCTION. Low anterior resection, rectosigmoid, with primary anastomosis with EEA stapler. For the most part, I have been very lucky and my pain has been manageable and I've gotten so used. Expand. However, there are days when everything shuts down from stomach thru colon. 86%), at the splenic hilum level in 11 patents (7. The splenic flexure (SF) is an uncommon location of colorectal cancer, being involved in 2%–3% of cases. Usually it didn't feel like that to me, but once in a great while, it did. Gurgling in the large intestine may be associated with these processes. 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. Heart Palpitations – The heart. 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. We describe the case of SFV diagnosed and treated laparoscopically in the non-volvulus condition. 89 became effective on October 1, 2023. 10. The splenic flexure is the junction between the transverse colon and the descending colon and is usually the most cranial portion of the colon. Trapped Air in the Colon (Splenic Flexure Syndrome) In constipation and other causes of bloating and gas, like lactose intolerance , fructose malabsorption , celiac disease or IBS , gas may be trapped in the part of the colon running near the spleen and cause “splenic flexure syndrome”: LUQ pain, aggravated by eating and relieved by passing. Irregularities of the bowel caused by splenic flexure syndrome (SFS) may manifest as diarrhea or as constipation. The dilated midtransverse colon and the decom- pressed distal sigmoid colon could be traced into an apparent knot with the dilated loop of splenic flexure emerging from this knot. [Google Scholar] Associated Data. 2 years ago • 5 Replies. I feel very nauseous about an hour or two after eating, not only this but I get pains in my left hand side just under my ribs at the back (splenic flexure?), I feel a bit faint and also get pains in the centre of my chest, like a tight feeling up my oesophagus, and pains in my left hand back/lung area & gallbladder area. Try using simet. The term intestinal pseudo-obstruction denotes a syndrome characterized by a clinical picture suggestive of mechanical obstruction in the absence of any demonstrable evidence of such an obstruction in the intestine. Overview of Splenic Flexure Syndrome Pain in the left upper abdomen may in some cases result from distension or spasm of the splenic flexure of the colon. Patient positioning.