Soluble fiber in this circumstance may be a beneficial treatment. C18. Stool in hepatic flexure ofter prep for colonoscopy. Splenic 18 F-fluorodeoxyglucose (FDG) uptake was compared in patients with MAS and sepsis using positron emission tomography/computed tomography (PET/CT). When one of these is. pulmonary infarction localized necrosis of lung tissue caused by. S. Splenic flexure syndrome symptoms. 1136/pgmj. Method This multicenter retrospective study was based on the SFC Study Group database. I'm doing a bit of googling which is always fatal. 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. 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. First know that your colon is not shaped like it is shown on biological textbook pictures. colic flexure, left the angular junction of the transverse and descending colon. It lies more cranial than the right colic. 01). Semantic Scholar extracted view of "Splenic flexure volvulus presenting as proximal small intestinal obstruction. Splenic flexure syndrome is a painful digestive disorder. Splenic infarction occurs when blood flow to the spleen is compromised causing tissue ischemia and eventual necrosis. The main symptom of splenic flexure syndrome is abdominal pain. The spleen has the same relationship to the circulatory system that the lymph nodes have to the lymphatic system. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Here’s my symptoms— I’m glad you found this— Buscopan number one in my bookAsplenia refers to absence of the spleen thereby leading to deficient splenic function. Splenic infarction [1] Definition: ischemic injury to the spleen that results in tissue necrosis; Pathophysiology. Splenosis most frequently occurs in the abdominal and pelvic. Often this happens after eating a meal. I. Senior Registrar Internal M. Splenic flexure syndrome may be the cause for pressure on the chest. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. Watershed areas account for about 70% of. Colon polyps. Objective To explore the imaging findings of splenic flexure syndrome,and try to improve the diagnosis ability. It causes episodic rectal pain, which is usually attributed to muscle spasms. For use as adjunctive therapy in the treatment of irritable bowel syndrome (irritable colon, spastic colon, mucous colitis) and functional gastrointestinal disorders. 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. There is nothing blocking the intestine. 7% vs 19. read more. The splenic flexure, the highest-reaching segment of the co-lon, may become distended as the gas rises to fill it. 1). In all cases, the transition zones were at the splenic flexure or adjacent to it. Prolapse frequently occurs due to the length of the transverse colon. Practice Essentials. 89 became effective on October 1, 2023. I also had a colonoscopy resulting in a Volvulus diagnosis (twist in the bowel). The point of fixation of the splenic flexure was displaced medially. The pressure from the gas can cause severe pain. If mistaken for pneumoperitoneum, it can lead to unnecessary surgical intervention. Surgery is an option to treat volvulus and stop the intestine from twisting again. Patient Positioning for Laparoscopic Splenic Flexure. The gas that is found in the colon is a mix between that which is swallowed and that which the intestine makes. Twenty percent of the 93 cases. Splenomegaly in children. It is associated with high risk of obstruction and poor prognosis . Often this happens after eating a meal. If a patient has acute colitis resulting in rectal bleeding. Here we report a case of a child with syndrome of the splenic flexure of the colon. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Concomitant rectosigmoid spasm may also prevent the normal release. Sessile serrated lesions represent 3% to 9% of all serrated polyps, are flat and most frequently found proximately to the splenic flexure . Surgery to remove the spleen. splenectopy: , splenectopy ( splē'nek-tō'pē-ă, splē-nek'tō-pē ), 1. 5 became effective on October 1, 2023. The spleen is a hematopoietic organ that filters and removes aging blood products and aids in immunity against incapsulated bacterial organisms. The splenic flexure of the colon still remains the least frequent site of occurrence of colonic neoplasm. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. MBBS/ FCPS. Do you have excessive gas or flatulence? It could be splenic flexure syndrome. The high anatomical position of the splenic curvature causes an acute. Acute colonic pseudo-obstruction (ACPO), known as Ogilvie syndrome, is a distinct form of colonic dilatation without evidence of underlying mechanical or anatomic cause. ICD-9-CM 569. The spasms are located in the splenic flexure, which is found in the colon that runs in between the transverse colon and the descending colon. Splenic-flexure syndrome is a chronic disorder that may be caused by gas trapped at bends (flexures) in the colon. Splenic Flexure Syndrome: The presence of gas in the colon is common. This pain is usually felt in the upper left abdomen, near the spleen. Hepatic flexure syndrome is a common medical issue and it causes a variety of symptoms. The following code (s) above C18. 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]. The vagus nerve provides parasympathetic nerve fibers to the entire abdomen proximal to a point approximated by the splenic flexure of the colon . Recently, splenic infarcts have been reported in multisystem inflammatory syndrome in children (MIS-C). Obstructed. Have you considered splenic flexure syndrome. 89 - other international versions of ICD-10 K59. Chilaiditi's syndrome is a clinical. Introduction. According to HealthForm, it is stated that splenic flexure syndrome might be defined as a sense of having “a large bubble” in the middle of one’s body that is refusing. 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]. 11, 12It's when a gas pocket gets stuck in the splenic flexure of the large intestine. Bookmark Pandacub7 · 02/08/2020 18:54 @Sebw I’ve just looked into that and the symptoms do sound very familiar. Other Codes Used Similar Conditions. Introduction. The 2024 edition of ICD-10-CM K63. The act or an instance of bending or flexing; flexion. This is the American ICD-10-CM version of D73. Sometimes bloating. This topic provides an overview of normal splenic size and function and an approach to evaluating splenic abnormalities in adults. Splenic steal syndrome is a controversial diagnosis of hepatic artery hypoperfusion and may represent an underrecognized cause of graft ischemia in the United States. Surgery was done for splenic pus drainage. MeSH terms Colon, Transverse*. The 2024 edition of ICD-10-CM C18. 4. The vagus nerve supplies the parasympathetic tone from the upper gastrointestinal (GI) tract to the splenic flexure, and the sacral parasympathetic nerves (S2 to S5) supply the left colon, sigmoid, and rectum. Dilatation of the bowel is classically confined to the cecum and ascending colon with transition near the splenic flexure. Splenomegaly in children – (See "Approach to the child with an enlarged. The large intestine bends at two points located under the rib cage. The presence of rests of splenic tissue, usually in the region of the spleen. symptoms of pain, gas, bloating, a sense of fullness experienced in the left upper abdominal quadrant, sometimes beneath the ribs, in. 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. When the pain occurs over the hepatic flexure, gall-bladder disease is often suspected; when over the transverse colon, a peptic ulcer, and when over the splenic flexure, disease of the heart, oesophagus. Belching during or after meals is normal, but people who belch frequently may be swallowing too much air and. 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 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. Problems with the muscles or nerves in your rectum can cause difficulty holding your poop in leading to accidents or leakage. – One trick to relieve pain in the upper left quadrant is to lie flat on your back and raise your buttocks so they are higher than your abdomen. StenosisBasically, the splenic flexure is fixed in position by three attachments: the gastrocolic, phrenicocolic, and splenocolic ligaments. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. 2. Splenic-flexure syndrome. Splenic flexure syndrome is a condition that causes gas to become trapped inside flexures — or curves — within your colon. Splenic flexure syndrome; dyssynergic defecation; irritable bowel syndrome; Clinical presentation. Acute colonic pseudo-obstruction (Ogilvie's syndrome) Cecal volvulus; Classification, clinical features, and diagnosis of inguinal and femoral hernias in adults. is associated with Lynch syndrome; has a higher occurence of mucinous tumors, BRAF-mt or KRAS. Splenic Flexure Syndrome. 89 may differ. At this point, it makes a left turn at the. Splenic flexure syndrome Gaseous distention in the left, upper portion of the colon leading to left, upper abdominal discomfort, which may radiate to the left chest and be confused with heart disease. Passage of gas or stool may somehow. 2,204 satisfied customers. Provoking factors of the symptoms are stress situations in childhood. 1 Clinical presentation is variable and can range from asymptomatic to acute abdomen when splenic infarction or rupture occurs due to. Created for people with ongoing healthcare needs but benefits everyone. Patients frequently report increased amounts of bloating and gas. 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. Accompanying these anomalies, there may be fever, bloating, abdominal cramping, or spasms of the colon. Most hamartomas are a mixture. 1, 2 The spleen is also a major producer. 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. It lies more cranial than the right colic. The distal colon extends from the rectum up the colon and stops at the splenic flexure, which is the point where the colon bends. Splenic flexure syndrome is a condition basically characterized by pain and discomfort of the upper abdomen. rate of sporadic SSPs but NBI has been reported to increase polyp detection rates in patients with serrated polyposis syndrome (SPS). Colorectal cancer (CRC) is one of the most common gastrointestinal malignancies (). As a result, pressure can build on surrounding organs causing pain and discomfort. I am curious if I might have SIBO as I have many of the symptoms (constipation, gas, etc) and have also had Roux en Y reconstructive surgery for a cyst on my bile duct ( choledochal cyst). La hinchazón también se observa como el signo más frecuente del síndrome del ángulo. The phrenicocolic ligament attaches the splenic flexure to the left hemidiaphragm. He was again admitted 2 months later for intestinal obstruction. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. Also solutions for "slow transit colon" may be of use to you. In about half of those patients in whom the spontaneous right upper quadrant pain. Splenic flexure syndrome is a condition that causes gas to accumulate in your colon, leading to pain and discomfort. 4. Splenic flexure carcinoma is a rare condition, as it represents approximately 3 to 8 % of all colon cancers. Colon polyps disappear. The. Bony mallet toe of the hallux treated with screws: a. For the present analysis, SFC patients were selected if. Approximately one third of polyps and one half of colorectal cancers occur proximal to the splenic flexure. Bone marrow 18 F-FDG uptake was measured by placing ROI over axial sections within individual vertebrae (T1 to L5) (Figure 2). 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. Very confusing!Lift up through the balls of your feet. 32 ). ascending (eight), hepatic flexure (six), transverse (three) and splenic flexure (one). 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. Splenic flexure cancer is relatively rare compared to adenocarcinoma located in the descending or sigmoid colon, representing 1%-8% of all colon cancers []. 89 became effective on October 1, 2023. With the increasing use of colonoscopy, endoscopists, surgeons and radiologists are more likely to encounter this unusual complication. CT has become the most important imaging technique for evaluating the abdomen and pelvis. This laxity can be congenital in origin, such as in Ehlers-Danlos Syndrome, or acquired. In medicine, splenic-flexure syndrome is a chronic disorder that seems to be caused by trapped gas at bends (flexures) in the colon. or even unsuspected Crohn disease. Intrapancreatic accessory spleen (IPAS) may mimic pancreatic neoplasms, but requires no further treatment. 89 - other international versions of ICD-10 D73. Applicable To. Retroperitoneal; Descends along the left posterolateral abdominal wall from the splenic flexure to the left iliac fossa ; Sigmoid colon. According to Health Foxx , Splenic flexure syndrome, a chronic digestive disorder which causes excess gas to become trapped in the colon, can result in pain under the left rib cage. Splenic flexure syndrome is a condition that may cause abdominal pain, bloating and gas. I feel the same way! I get pain under my left lower ribs also. 2 These factors lead to capsular avulsions and lacerations of the spleen. A 39-year-old woman with a previous diagnosis of irritable bowel syndrome presented with progressively. I have suffered from splenic flexure syndrome for 35 years. In some cases, splenic flexure syndrome improves and goes away on its own from flatulence or consistent bowel movements. Splenic flexure syndrome diet. The term “irritable colon syndrome” is used to embrace a variety of colonic functional disturbances which can be divided into two main. If there's time, you'll be advised to have certain vaccinations before the operation. Splenosis is the benign acquired condition of heterotopic autotransplantation of splenic tissue in another anatomic compartment of the body after splenic rupture, usually either traumatic or iatrogenic. Splenic surgery. She was referred to a laparoscopic surgeon who removed 37 cm of colon, including the displaced segments noted in the description above. ), and the structure. Hajivassiliou et al. At first, mistake in diagnosis of splenic flexure may be occurring but the experience can begin to grow in intensity. 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. 5% to 10% of all colon cancers. It may sometimes be more appropriate to have just part of your spleen removed – a partial splenectomy. 5 may differ. The spasms are located in the splenic flexure, which is found in the colon that runs in between the transverse colon and the descending colon. 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. 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. The correct alignment is with the hips over the shoulders and feet over the hips. Results: An exploratory laparotomy showed multiple hard, gray liver nodules as well as a hard mass in the small bowel. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A person with a first. 3. Open SFM is challenging due to anatomic position. Abdominal bloating/distention. The syndrome occurs when the colon becomes twisted or kinked at the splenic flexure, which is the point where the colon bends near the spleen. I am taking Protonix for it but I really feel sick all of the time. caudal flexure the bend at the aboral end of the embryo. Chilaiditi syndrome has been known to cause severe complications including volvulus of the cecum, splenic flexure or transverse colon, cecal perforation, and subdiaphragmatic appendicitis perforation . Gas, burping. How to say splenic flexure in English? Pronunciation of splenic flexure with 3 audio pronunciations, 1 meaning, 13 translations and more for splenic flexure. 41 (473); 1965 Mar. The larger the aneurysm, the more dangerous it can be. 89 should only be used for claims with a date of service on or before September 30, 2015. Splenic flexure mobilization was performed selectively in half of colectomies evaluated. Splenic flexure syndrome is a medical disorder characterised by gas entrapment inside the flexures of the colon, leading to excessive pain over the. I'm hoping to find advice from those suffering specifically from Splenic Flexure Syndrome. Extended right or left hemicolectomy are the most common surgical treatments for splenic flexure colon cancer. doi: 10. 32). Cancel anytime. This is the American ICD-10-CM version of K59. Symptoms of ischemic colitis can include: Pain, tenderness or cramping in your belly, which can occur suddenly or happen over time. Levator syndrome is named for the levator ani muscle that holds your rectum in place. 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. I used to when I was backed up all the time, which isn't surprising with your IBS-C. Discover what… The following are some of the conditions that are closely related to splenic flexure syndrome: 1. Other symptoms of splenic. Acute colonic pseudo-obstruction (ACPO), known as Ogilvie syndrome, is a distinct form of colonic dilatation occurring in the absence of underlying mechanical or anatomic etiology. THE SPLENIC FLEXURE SYNDROME Postgrad Med J. Today. (1,2)The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Talk to a doctor now . Surgeries. Lymphoma, a cancer of lymph tissue, such as Hodgkin's disease. 01) and a decreased rate of inadequate nodal staging in patients undergoing low anterior resection (3. A person with serrated polyposis syndrome is at high risk for malignancy therefore surveillance colonoscopy is recommended every 1-3 years. 51 cm in low anterior resection, P < 0. splenic abscess : sonographically characterized by multiple “target” lesions. Save Share. Constipation is very common. The splenic flexure sometimes can be reached with the 60-cm sigmoidoscope. 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. This happens when gas builds up or becomes trapped in the colon. use tobacco. " feels bloated, not distended. PMC2482946. It is most commonly encountered in older adults with. Posted 6 years ago. 1). May be Splenic Flexure Syndrome. Healthcare providers remove. Increased splenocolic adhesions, splenomegaly or. If mistaken for pneumoperitoneum, it can lead to unnecessary surgical intervention. Meganblase syndrome. 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 ]. 11:56. A number of situations can cause the likelihood of having splenic flexure syndrome including food, poisoning, air and disease. Intraperitoneal; The S-shaped terminal portion of the descending colon located in. Knight and Thomas S. Boparai et al compared the miss rate of serrated polyps in patients with SPS using high. This way the gas. 41. Code History. Postgrad Med J. The common hepatic flexure syndrome symptoms are abdominal discomfort and gas pains. Splenic flexure is a rare site for volvulus. [splen- + G. She had a long history of constipation and had tried a variety of laxatives with an unsatisfactory response. Due to tight angulation at the splenic flexure, the scope was maneuvered with the aid of external abdominal pressure and by adjusting the patient. Treatment options are discussed. The spleen is a highly vascular organ that participates in hematologic and immune homeostasis. They gave him charcoal pills and simethicone, which reduced the gas for a. The kink can cause partially obstructed bowel movements and may also trap gas and fluid in the. Irritable bowel syndrome is a motility disorder. The location of the splenic flexure is affected largely by bowel conditions, such as retention of air and faeces in the colon (Fig. Sympathetic stimuli result in the inhibition of bowel motility and the contraction of sphincters. 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. Imaging the spleen. Dilatation of the bowel is classically confined to the cecum and ascending colon with transition near the splenic flexure. When the pain occurs over the hepatic flexure, gall-bladder disease is often suspected; when over the transverse colon, a peptic ulcer, and when over the splenic flexure, disease of the heart, oesophagus. The splenic flexure is mobilized by transecting the gastrocolic ligament gaining access to the lesser sac. Splenic Flexure. It is most commonly encountered in older adults with. Do you have excessive gas or flatulence? It could be splenic flexure syndrome. Splenic flexure syndrome is a painful digestive disorder. 8 × 1. Hi, I have gerd and a hiatal hernia too. These disorders can make you feel bloated, even when you are not. It is most commonly encountered in older. Inokuchi T. The gas trapped in the descending colon and splenic flexure was demonstrated in every film taken of this patient's abdomen during symptomatic periods. The 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. That's that I am putting down to the stress And anxiety. 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. 148. Splenic or Hepatic Flexure Syndrome. Long post to ask a shirt question - Anyone have or heard of this Splenic Flexure Syndrome? comments sorted by Best Top New Controversial Q&A Add a Comment goldstandardalmonds Here to help! • Additional comment actions. It has been considered a type of IBS (Irritable bowel syndrome). 36 ) [ 94 ]. Cite this Entry. Introduction. Can be painful. This severe gas buildup can cause. Ser capaz de identificar las causas de SFS será de gran ayuda para evitar que el sistema digestivo se agrave aún más. You may need an operation to remove your spleen, known as a splenectomy, if it's not working properly or it's damaged, diseased or enlarged. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. Colorectal cancer (CRC) is one of the most common gastrointestinal malignancies (). Failure to promptly identify and treat a splenic flexure volvulus can result in colonic ischaemia,. 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. This technique was associated with a trend towards an increased rate of minor complications, with no difference in major adverse events, including organ space infections. Although patients with HNPCC do not develop as large a. Discover what… 17. This study aims to compare the perioperative and long-term outcomes of different alternatives for emergency SFC resection. Colon polyp 4mm. 41 (473); 1965 Mar. , 10 cm proximal toward the transverse colon or 10 cm distal to the descending colon [2, 5, 17]) as assessed by preoperative computed tomography (CT) and confirmed during surgery and. Corpus ID: 75950487. Chest pain: Feeling of fullness: Cramping or sharp abdominal spasms:There are four types, defined by the location of the inflammation: Ulcerative proctitis – located in the rectum. For. 148 No abstract available. 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. When CT images of the abdomen and pelvis are interpreted, the focus is often placed on the. Splenic flexure syndrome is a painful digestive disorder. It relaxes the colon so that the. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10. Pathology revealed nonspecific mucosal inflammatory changes, without ulcers or granulomas. " by C. Splenic macrophages have a major role in phagocytosing bacteria and aging blood cells from the circulation. Most of these studies report patients on mechanical ventilation and an understanding of mechanisms causing this remains limited. splenemphraxis: (splē″nĕm-frăk′sĭs) [″ + emphraxis , an obstruction] Splenic congestion. 57%), at the lower pole of the spleen in 15 (10. , colon, rectum, and anus) as well as the distal portion of the small intestine (terminal ileum). Spleen Injury – The spleen becomes swollen and irritated due to blunt force trauma and other types of physical injury. Procedural difficulties particularly around the splenic flexure, transmural colonic burns, and over-insufflation of the colon may increase the risk of pancreatitis. splenicterus: (splē-nĭk′tĕr-ŭs) [Gr. Symptoms. Splenic flexure syndrome is a condition that may cause abdominal pain, bloating and gas. Irritable pouch syndrome often responds to anticholinergics or antidepressants, cuffitis responds to 5-ASA. A 7-year-old girl with chronic idiopathic intestinal pseudo-obstruction syndrome was treated with elective resection of the splenic flexure and primary anastomosis because she had similar attacks. 5 contain. It has multiple aetiological factors with some encountered much more frequently than others. Synonym(s): lienal , splenetic (1) Posture advice, including the knee–chest position and abdominal compression using colonic intraluminal pressure for the resolution of incomplete volvulus during pain attacks, was effective. The exact pathophysiology is unknown, but it has been linked to dysregulation of the autonomic nervous system. This syndrome has been recognized as a type of irritable bowel syndrome [ 3 ]. cerebral infarction an ischemic condition of the brain, causing a persistent focal neurologic deficit in the area affected. 4. It is relatively rare and represent only 1–8% of all colon cancers 2, 3. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. The descending colon lies on the posterior abdominal. This syndrome has been recognized as a type of. Also used as adjunctive therapy in the treatment of neurogenic bladder and neurogenic bowel disturbances (including the splenic flexure syndrome and neurogenic colon). Have been referred today for tests for everything under the sun, ovarian cancer, coeliacs, ultrasound, fecal test, blood tests. develop frequent infections.