17. According to LiveStrong, the most effective change in one’s diet to alleviate constipation is increasing fluid and fiber intake. splenic: ( splen'ik ), Relating to the spleen. 1136/pgmj. 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 amount of gas in the transverse colon seems to be related with functional. SFM is. In more-severe cases, complications can. Applicable To. mucus. It is not advisable to make an anastomosis in the region of the splenic flexure, because this region is a watershed zone. 41. 09 (Genetic susceptibility to other malignant neoplasm). There are four types, defined by the location of the inflammation: Ulcerative proctitis – located in the rectum. John Fung answered. 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. She had a long history of constipation and had tried a variety of laxatives with an unsatisfactory response. Introduction. As a library, NLM provides access to scientific literature. The descending colon lies on the posterior abdominal. Intestinal pseudo-obstruction is a rare condition. From: xPharm: The Comprehensive Pharmacology Reference,. Over time, aneurysms may grow. 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. Trace gases such as skatole, indole, and sulphur-containing compounds give gas its characteristic odour. One had multiple erosions of the splenic flexure and one had a polyp . 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. You perform a TAH-BSO, omentectomy, tumor debulking, limited para-aortic and pelvic lymphadenectomy, recto-sigmoid resection, coloproctostomy, low pelvic anastomosis, and mobilization splenic. • The paresthesias may be unilateral in 16% of patients, left side more often than right. belching. For the past 48 hours I've had a stabbing pain in my left upper abdomen just next to and slightly to the left side of my navel. 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. Most hamartomas are a mixture. 11:56. An aneurysm can happen in any of your arteries and is a result of weakening within the wall of the artery. 10–12. 4. Occlusion. has tumors that grow along the wall of the colon. e. Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome is extremely rare. 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 pain moves. The Splenic Flexure Syndrome - PMC. The colic imprint is from the splenic flexure of the colon. 11:56. 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. 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. Persons with splenic and hepatic flexure syndrome usually get constipation, bloating, and pain from inhaling. It's thought to be a sub-type of IBS. Physical exam revealed a protuberant abdomen with tympany and. Watershed areas account for about 70% of ischemic colitis. Twenty percent of the 93 cases. Broccoli. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. MAIN OUTCOME MEASURES: We evaluated Clavien-Dindo ≥3 postoperative complications and oncological (number of lymph nodes removed, length of free proximal and distal margins. A redundant sigmoid colon could lead to sigmoid volvulus. THE SPLENIC FLEXURE SYNDROME Postgrad Med J. Splenic flexure syndrome is a condition basically characterized by pain and discomfort of the upper abdomen. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. Resting patterns of motility. 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. Key points. There is a thing called splenic flexure syndrome which I believe is a variant of IBS. 3 may differ. Fig. 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. Given the fact that, less than 100 cases have been reported in the literature, this diagnosis is. This topic provides an overview of normal splenic size and function and an approach to evaluating splenic abnormalities in adults. Since the 1970 there have very few if any scientific articles published on this syndrome. , in pancreatic cancer or due to antiphospholipid syndrome) Hematologic disorders (e. The axial abdominal computed tomogram shows a shouldered colonic stricture at the hepatic flexure (fig 2 ⇓). If there is any doubt as to the aetiology of large bowel obstruction it should be further. Fig. However, the diagnosis of certain focal lesions of the spleen can be difficult, even with modern imaging, sometimes requiring a histologic tissue examination obtained by percutaneous biopsy or even by surgery to obtain a definite diagnosis [3], [4]. That's bad enough for anybody, but if someone has an anxiety condition, it will just scare the bejeezus out of them. It is usually transient and affects the left colon with meconium plugging the bowel distal to this segment. The surgical treatment of splenic flexure carcinoma (SFC) has been traditionally neglected in the literature, mainly because of its relatively low incidence, as it represents only 3 to 5% of all colonic cancers [1–4]. Incomplete volvulus of the splenic flexure is a cause of recurrent abdominal pain, but no effective. If there's time, you'll be advised to have certain vaccinations before the operation. 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. Abdominal bloating/distention. 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. Since the 1970 there have very few if any scientific articles published on this syndrome. Many people have gas build-ups from time to time. This syndrome has been recognized as a type of. Patients frequently report increased amounts of bloating and gas. Causes of the reduced blood flow can include. Obstructed. 2011. Abscess formation is among the rare complications. Using the left thumb, walk from splenic flexure (in zone 4) until reaching the sigmoid flexure (above. A 14-year-old boy with no medical history had severe left upper abdominal. 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 []. Gurgling in the large intestine may be associated with these processes. I is it possible to cause splenic flexure syndrome after a colonoscopy?In medicine, splenic-flexure syndrome is a chronic disorder that seems to be caused by trapped gas at bends (flexures) in the colon. Splenic Flexure Syndrome. 02. Gas-filled intestines can make relaxation difficult, which can exacerbate back pain. Colorectal cancer (CRC) is one of the most common gastrointestinal malignancies (). INTRODUCTION. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure. Splenic flexure: This is the sharp bend between the transverse colon and the descending colon. Broccoli. 41 (473); 1965 Mar. 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。. rectal spasms. Created for people with ongoing healthcare needs but benefits everyone. One had multiple erosions of the splenic flexure and one had a polyp . v. Step 1. It is close to the spleen, hence the name. 11:56. For this stretch, kneel on the floor and rest your bottom on the heels of your feet. Surgery was done for splenic pus drainage. 86%), at the splenic hilum level in 11 patents (7. There is nothing blocking the intestine. It might have been subsumed into the IBS literature. The fact that you have “extrinsic stenosis at the splenic flexure” means that the hernia may be causing some pressure on the left side of your colon, called the splenic flexure. Gas can build up at this flexure and give abdominal pain giving rise to a condition known as splenic flexure syndrome . Splenic Flexure. Bloating is a common side-effect of smoking. The “colon cutoff” sign, originally described on standard radiographs of the abdomen and now extended to computed tomography (CT) scanogram (Fig. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure. excessive gas or flatulence. The splenic flexure is the last and highest positioned flexure in the colon. It causes episodic rectal pain, which is usually attributed to muscle spasms. 6 Proximal lesions carry a poorer prognosis than distal cancers, in part because of. Abdominal causes are generally due to the pathology involving spleen, stomach (also presents as epigastric and back pain), pancreas (usually present with epigastric and back pain), splenic flexure of the left colon (may have low. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. 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 deflecting the tip on. The aim of the study was to evaluate splenic glucose metabolism in macrophage activation syndrome (MAS), characterized by overwhelming systemic inflammation. Hemorrhagic gastritis is the most commonly reported exercise-associated lesion with GI bleeding. SFV can be categorized into both primary and secondary etiologies. Ser capaz de identificar las causas de SFS será de gran ayuda para evitar que el sistema digestivo se agrave aún más. 473. fever. It is characterised by excessive pain, abdominal spasms, bloating, change in bowel movement etc. In some cases, splenic flexure syndrome improves and goes away on its own from flatulence or consistent bowel movements. Last updated November 16, 2023. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. These procedures may be done to treat spleen enlargement, anemia, cancer, ruptured spleen, and more. A splenic artery aneurysm is a bulge in the artery that supplies blood to your spleen. Symptoms of sigmoid volvulus include: failing to pass a bowel movement. An. [] Population-based studies estimate the prevalence of irritable bowel. 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. Brussels sprouts. If the gas build-up too much, you can get “splenic flexure syndrome”. 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. The splenic hilum contains nerves, splenic vessels, and also contains attachments for the splenorenal and. Other complications include volvulus of the cecum, splenic flexure, or transverse colon. 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. Surgeons need to be facile and familiar with several approaches (Fig. It is also known in medical terms, as the “left colic flexure”. Splenic Flexure Syndrome. It's when a gas pocket gets stuck in the splenic flexure of the large intestine. People involved in strenuous sports are more prone to experiencing cramping pain under the left rib. 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. The aim of this study was to review our experience in laparoscopic treatment. 3%) underwent extended left. Splenic or Hepatic Flexure Syndrome. Splenomegaly is the medical term for an enlarged spleen. Splenic infarction [1] Definition: ischemic injury to the spleen that results in tissue necrosis; Pathophysiology. , colon, rectum, and anus) as well as the distal portion of the small intestine (terminal ileum). Symptoms of sigmoid volvulus include: failing to pass a bowel movement. 7%) or extended procedures (extended right and left colectomies; n = 513, 39. Please note that the simple action of having the glycerine suppository in my anus causes a bowel movement. The diagnosis of this cancer is often late, in an. 89 may differ. Apparently the gas gets caught in the bend of the colon, causing debilitating stabbing pain. Intense pain in the stomach or a gurgling below the left rib may indicate a serious build-up of gas in the splenic flexure. Created for people with ongoing healthcare needs but benefits everyone. Peas. . Gas can build up at this flexure and give abdominal pain giving rise to a condition known as splenic flexure syndrome . Bend forwards and stretch your arms out in front of you, resting them on the floor as far. Posted by musicbart @musicbart, Apr 26, 2022. Background There is ongoing debate regarding surgical treatment of splenic flexure cancer. Yoga positions that may induce gas release include: Ananda Balasana (Happy Baby) Anjaneyasana (Low Lunge) Ardha Apanasana (Knee to Chest) Balasana (Child’s Pose) Supta Matsyendrasana (Spinal Twist) Uttanasana (Forward Fold) feeling of fullness. The exact pathophysiology is unknown, but it has been linked to dysregulation of the autonomic nervous system. 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. Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie syndrome, most commonly affects the large intestine from the cecum to the splenic flexure. Chen Yi-lei. Splenic-flexure syndrome. In this fixed position the splenic flexure is unlikely to undergo torsion [14–21]. Splenic flexure syndrome is just a descriptive term for the presence of certain symptoms at certain region of the belly such as splenic flexure region, this is not a disease by itself, we already discussed the benign nature of your symptoms such as sensitive gi tract, IBS, anxiety, stress etc, so you may call it by what ever name but there. The causes of this syndrome are multiple but exercise has been implicated. An enlarged spleen. severe abdominal pain. Methods. As a library, NLM provides access to scientific literature. In about half of those patients in whom the spontaneous right upper quadrant pain. 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. Avoid constipation: Eating a well-balanced diet with plenty of fiber and normal bowel function with exercise should be helpful. The descending colon lies on the posterior abdominal. Anyway, if you have an enlarged liver and spleen, at the very least, have you had any scanning done? either ultrasound or CT?Splenic Flexure. I got the results back for the fecal. Splenic flexure syndrome. A splenic artery aneurysm is by definition a splenic artery that. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. syndrome that is a functional bowel disorder characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits in the absence of any detectable organic cause. Coronary artery insufficiency had been suspected but could not be confirmed. 4. The superior extent of the splenic flexure of the colon reached high in the left hypochondrium, causing effacement of the left posterior costophrenic recess [ Figure 1 ]. 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. Emergency surgery is usually needed as a life-saving treatment after a traumatic spleen. Otherwise please choose a positive rating . Muscle spasms and abdominal distention are considered as causative of the syndrome. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. MethodsBetween January 2011 and December 2018, 117 patients with splenic flexure cancer were enrolled in the study. Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia, gangrene, perforation and subsequent peritonitis with high mortality. This has not been reported after colonoscopy, but injury to the spleen has been. Reply Report. Gastritis was found in 16, esophagitis in six, and a gastric ulcer in one. Malignant neoplasm of splenic flexure C18. Comida y dietaoccurs more often than right-sided colorectal cancers. Walk the hands further up the back for stability. 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. Patient positioning. Simple stretches to help. Posted January 8, 2019. Splenic Flexure Syndrome: The presence of gas in the colon is common. Surgical removal of the spleen is a splenectomy. Owing to extensive adhesions and a late stage of cancer. Splenic-flexure syndrome is a chronic disorder that may be caused by gas trapped at bends (flexures) in the colon. Some foods are known to aggravate the pain; the reason why diet modification is also recommended to minimize the incidence of pain episodes. Splenic hamartomas can be associated with syndromes—namely, tuberous sclerosis and Wiskott-Aldrich-syndrome. This is the American ICD-10-CM version of D12. Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome is extremely rare. First--stop looking on the internet with a list of your symptoms. 32 ). Traditionally, SFCs are defined as tumors located within. The group of Tracey also described a vago-splenic pathway, i. Colonic pseudoobstruction is a syndrome in which the clinical features resemble those of mechanical obstruction, that is, failure of motility associated with pain and abdominal distention, but there is no mechanical obstructing lesion. The major long-term complication of splenectomy is OPSI, also known as post-splenectomy sepsis syndrome, which is defined as a generalized non-specific flu-like prodrome followed by rapid deterioration to full-blown fulminant septic shock within 24-48 hours of the onset [ 9 ]. The Splenic Flexure Syndrome - PMC. 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. Surgery to remove the spleen. As a result, pressure can build on surrounding organs causing pain and discomfort. It may be induced experimentally by the introduction and. On the other hand, the SFS symptoms are very nondescript, IMO, and are common among countless other disorders, illnesses and. feeling of fullness. 3. 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. 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. Are you looking out for some exercises to get relief from gastric pain? There are certain yoga poses that help you in releasing air. And/or irritable bowel medications. Adjunctive therapy for neurogenic bladder and bowel disturbances, including splenic flexure syndrome and neurogenic colon;. The splenic flexure is the junction between the transverse colon and the descending colon and is usually the most cranial portion of the colon. 01). PMID: 14266688 PMCID: PMC2482946 DOI: 10. 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. 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]. Since the splenic flexure is a bend in the colon, gas can build up in that area. MeSH terms Colon, Transverse*. It may sometimes be more appropriate to have just part of your spleen removed – a partial splenectomy. INTRODUCTION. Splenic flexure syndrome occurs when gas or stool become trapped in the splenic flexure. A physical therapist can provide exercises and techniques to improve posture, strengthen the core muscles, and reduce pain. Spasms and pain can then radiate up under the left rib area & feel like pain, pressure, spasming or can mimic heart pain. Visible distention of the abdomen may be the result of an intestinal motility disorder, such as splenic-flexure syndrome. As a result, pressure can build on surrounding organs causing pain and discomfort. 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. Large quantities of this gas may cause pain in the abdomen,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. Use with caution during exercise or hot weather; overheating may cause heat stroke. 2. 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. 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. Most hamartomas are a mixture. I was referred to a gastro surgeon who had me get barium enama (X-ray of my colon). 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 is located on the right side of your large intestine and is the sharp, abrupt curve that makes the second final turn before waste reaches your rectum. Obstruction of the splenic artery or its branches → splenic infarction; Associated risk factors include: Hypercoagulable states (e. 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. 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 proper diet is the first step to decreasing the chance of having complications with a tortuous colon. Key points. SFV was first reported in 1953 by Glazer and Adlersberg et al. IBD;Splenic hamartomas can be associated with syndromes—namely, tuberous sclerosis and Wiskott-Aldrich-syndrome. I have mild to severe gastroparesis depending on the day and also a severe narrowing at the splenic flexure. 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. Splenic flexure mobilization is a crucial aspect of the procedure with complex technical details thereby establishing a learning curve that cannot be easily overcome. abdominal or rectal pain. The 2024 edition of ICD-10-CM K59. 1) to favor the opening of the splenic angle. . Splenic flexure syndrome may also be caused by ulcerative colitis. 52 vs 2. nausea. Human colonic motility: a comparative study of normal subjects, patients with ulcerative colitis, and patients with the irritable colon syndrome. Besic of Splenic FlexureCauses of splenic flexure syndrome. It is hypothesized that, due to the anatomic proximity of the pancreatic tail to the splenic flexure, manipulation of the colon causes trauma to the pancreas. Given its rarity, this makes the condition difficult to diagnose, and subsequently result in delays in treatment. Complications of chilaidati syndrome may include a volvulus of the cecum, splenic flexure or transverse colon. I'm doing a bit of googling which is always fatal. 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. A support garment or exercise. Please refer to the LCD for reasonable and necessary requirements. Splenic flexure syndrome is a chronic disorder producing. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. [ Read More ] corrected. Expand. However, there are days when everything shuts down from stomach thru colon. Common cancer-related complications are regional tumor extension, obstruction, and tumor perforation. The gas that is found in the colon is a mix between that which is swallowed and that which the intestine makes. Coronal image from follow-up CT (b) identifies interval enlargement of the left lateral diaphragmatic defect with new herniation of the stomach, splenic flexure and omentum into the left thorax. And/or irritable bowel medications. 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. Results Neither a history of abdominal surgery nor performance of a biopsy seems related to an increased incidence of splenic injury. Splenic flexure syndrome is a type of IBS that causes gas to be trapped and then forcibly sent into the colon. Journal List. The surgical treatment of splenic flexure carcinoma (SFC) has been traditionally neglected in the literature, mainly because of its relatively low incidence, as it represents only 3 to 5% of all colonic cancers [1,2,3,4]. 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. The best approach to resolving the illness is exercise, a high fiber diet, and consuming lots of water. 3 became effective on October 1, 2023. Uncertainty about the pathogenesis of colonic dilatation without obstruction has led to a variety of terms for the disease,. Prunes. When the gas gets trapped inside the flexures or curves in your colon, it leads to a condition termed Splenic flexure syndrome. The evaluation of splenomegaly in children and considerations related to elective or traumatic splenectomy are discussed separately. Diagnostic procedures may include chest X. Basically my transverse colon got completely displaced and is pushed up against my spleen and diaphragm. 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. 32 ). It's also the place where. 148. A redundant sigmoid colon could lead to sigmoid volvulus. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L34912 Genetic Testing for Lynch Syndrome. Lift up through the balls of your feet. I’ve had a pain under my left rib in my stomach for a few months now. I’ve ended up in A&E a couple of times due to the severe pain. Although uncommon in the general population, ischemic colitis occurs with greater frequency in the elderly, and is the most common form of bowel ischemia. 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]. Here we report a case of a child with syndrome of the splenic flexure of the colon. 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. . Splenic flexure syndrome is where gas becomes trapped at the left bend of the colon causing fullness, discomfort and even pain. Can be painful. • Ninety-nine percent of cases are chronic hyperventilation syndrome (modest increase in respiratory rate or tidal volume). THE SPLENIC FLEXURE SYNDROME. Findings at surgery reveal an enlarged uterus with left ovarian and recto-sigmoid involvement along with pelvic peritoneal disease. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. This severe gas buildup can cause pressure, pain and bloating, according to June 2020 research in Intestinal Research. Splenic Flexure Syndrome: The presence of gas in the colon is common. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. diarrhea. dtSplenic flexure syndrome, also known as left colonic flexure syndrome, is a condition characterized by pain and discomfort in the left upper quadrant of the abdomen. The pain can radiate to the back, causing back pain. 89 should only be used for claims with a date of service on or before September 30, 2015. nausea. The common hepatic flexure syndrome symptoms are abdominal discomfort and gas pains. Intestinal pseudo-obstruction is a rare condition.