In the context of bowel ischemia in particular ischemic colitis, the splenic flexure is sometimes referred to as Griffith's point, along with the upper rectum ( Sudeck's point). The splenic flexure is a watershed region as it receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery, thus making it prone to ischemic damage in cases of low blood pressure because it does not have its own primary source of blood. Keywords: Colorectal cancer, adenosquamous. Splenic flexure syndrome is often found in those with irritable bowel syndrome (IBS), and is considered by some practitioners to be a type of IBS since it can also result from stress. This case promotes the understanding of colon ASC and provides a basis for its clinical diagnosis and treatment. It passed through the ileocecal valve and penetrated the hepatic flexure of the colon. Gas can build up at this flexure and give abdominal pain giving rise to a condition known as splenic flexure syndrome. for the various segments of the colon was noted in the hepatic flexure, being 36.7 per cent lor operative survivors, as compared to 54.5 per cent or the right, and 55.7 per cent for the left, portion of the colon. A 31-year-old man with schizophrenia ingested a 20-cm-sized toothbrush. The bend of the colon at the juncture of its. The splenic flexure is the last and highest positioned flexure in the colon. Known as: Flexura coli heaptica, Flexura coli hepatica, Right Colic Flexure Expand. The pathological analysis identified a mucinous adenocarcinoma at the hepatic flexure of the colon with an adjacent cavitating lymph node metastasis of 16 mm. Connective tissue connects this part of the colon to the anterior pararenal fascia, descending part of the duodenum (D2) and head of pancreas.It also creates an impression on the inferior surface of the liver. The splenic flexure receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery. Right colic flexure (or hepatic flexure) is used to describe the bend in the colon as the ascending colon continues as the transverse colon. The left colic flexure or splenic flexure (as it is close to the spleen) is the sharp bend between the transverse colon and the descending colon. It receives blood supply from the superior mesenteric artery. eight segments (rectum, sigmoid colon, descen- ding colon, splenic flexure, transverse colon, he. The hepatic flexure lies in the right upper quadrant of the human abdomen. with a mottled gas appearance at the hepatic flexure and a distended ascending colon filled with stool material (Fig. Their clinicopathological data were retrospectively reviewed and analyzed.
Methods: Sixty-five patients with right colon carcinoma of hepatic flexure invading the duodenum, treated in our department from 1987 to 2007, were included in this study. The right colic flexure or hepatic flexure (as it is next to the liver) is the sharp bend between the ascending colon and the transverse colon. Objective: To discuss surgical treatment of right colon carcinoma of hepatic flexure invading the duodenum.
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