5% of body weight. The diagnosis of this cancer is often late, in an. 비굴곡증후군이란 결장 비굴곡부 (splenic flexure, SF) 내에 가스가 차서 빠져나가지 못하는 상태를 말한다. The. 2) I believe that both splenic flexure syndrome and distension refer to the. 4516-20. Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome. In some cases, splenic flexure syndrome improves and goes away on its own from flatulence or consistent bowel movements. Injury to the left side of the body. Splenic flexure mobilisation (SFM) is one of the fundamental surgical steps during colorectal procedures. splenomegaly, important sign though it is nonspecific 12. I'm hoping to find advice from those suffering specifically from Splenic Flexure Syndrome. INTRODUCTION. [ 1] The infarct may be segmental, or it may be global, involving the entire organ. 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. Learn how we can help. Have been referred today for tests for everything under the sun, ovarian cancer, coeliacs, ultrasound, fecal test, blood tests. SFV can be categorized into both primary and secondary etiologies. 32 ). Irritable bowel syndrome is a motility disorder. i mentioned this to both my gastro and his PA and they both said that some people do have problems like mine in. The splenic flexure, the highest-reaching segment of the co-lon, may become distended as the gas rises to fill it. Introduction. Applicable To. Gas can build up at this flexure and give abdominal pain giving rise to a condition known as splenic flexure syndrome . The splenic hilum contains nerves, splenic vessels, and also contains attachments for the splenorenal and gastrosplenic ligaments. Splenic Flexure Syndrome Symptoms Forum. Practice Essentials. C18. 2. Created for people with ongoing healthcare needs but benefits everyone. 57%), at the lower pole of the spleen in 15 (10. Thus, it is accepted that splenic tumors of vascular origin develop particularly in the red pulp and therefore in the. 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. 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. Sharp pain or cramps under the left or right side of the ribs; Pain that worsens when inhaling; Bloating; Constipation; Increased gas; Belching; Splenic and hepatic flexure syndromes are caused by trapped gas or stool in your intestines. Predisposing factors are the congenital. 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. weight loss. Splenic flexure syndrome. 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. Surgeons need to be facile and familiar with several approaches (Fig. Try using simet. Expand. " feels bloated, not distended. He was again admitted 2 months later for intestinal obstruction. It carries 75% mortality by age 5 though. For the most part, I have been very lucky and my pain has been manageable and I've gotten so used. All colorectal procedures. 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. Gas in the Colon – Splenic Flexure Syndrome. The splenic flexure (SF) is an uncommon location of colorectal cancer, being involved in 2%–3% of cases. Long answer. Two patients had congenital absence of normal colonic attachments; the other four patients had elongated mesocolons, presumably from. Asplenia refers to absence of the spleen thereby leading to deficient splenic function. A feeling of something lodged at the base of my left ribcage. Doc suggested it may be an issue with my splenic flexure. The concept of the hepatic and splenic flexure syndromes has proved to be of positive clinical value. asplenia syndrome. Clinical experiences with the splenic flexure syndrome and the hepatic flexure syndrome. There are four types, defined by the location of the inflammation: Ulcerative proctitis – located in the rectum. Physical exam revealed a protuberant abdomen with tympany and. 3 may differ. Dr. obstruction intheregion ofthesplenic flexure (fig. contrast-enhanced CT demonstrates a low-density spleen. DIAGNOSIS DE SPLENIC FLEXURE SYNDROME. We also reviewed the literature-linking colon cancer and splenic abscess with specific attention to the carcinoma of the splenic flexure. DEUTSCH DL, SCOTT NM. 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 ]. The length (infero-superior) of the normal adult spleen is less than 12 cm. It is relatively rare and represent only 1–8% of all colon cancers 2, 3. However, a. , sickle. Emmertsen, K. Patient Positioning for Laparoscopic Splenic Flexure. abdom xray, ultrasound neg. If you see. The severity and frequency of the pain attacks decreased from once a week to once a month. 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. A redundant sigmoid colon could lead to sigmoid volvulus. A:The hepatic flexure, also known as the right colic flexure, is found in the digestive system of the human body. In recent years, however, several studies have questioned which type of resection would provide the best surgical and. Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. There is nothing blocking the intestine. John Munshower and 3 doctors agree. low-dose antianxiety med, too, I guess. 1% of the patients. Clinical manifestations of syndrome of the splenic flexure lack specificity, and they include recurrent abdominal pain, bloat- ing, incomplete intestinal obstruction, and refractory constipation. I have IBS and have this a lot, just assume it is a bowel thing. Tumors located in this region often present late in advanced stages, most commonly with obstructive symptoms []. The 2024 edition of ICD-10-CM K59. I sometimes can't tell if I'm in pain or hungry. ----- -->IBS INDUCED BY NSAIDS NAPROXEN. The tail of the pancreas leaves an impression between the hilum and colic impression sites. Can't even pass gas when system shuts down. 89 may differ. Splenic-flexure syndrome In medicine, splenic-flexure syndrome is a chronic disorder that seems to be caused by trapped gas at bends (flexures) in the colon. Minimally invasive SFM improves visualization and minimizes splenic traction. Feedback Complete Survey Survey. A redundant sigmoid colon could lead to sigmoid volvulus. With Augmentin, an anti spasmodic, anti nausea and liquid diet I'm starting to feel better after 4 days. Hi doctors, can you tell me what is splenic flexure syndrome? 1 doctor answer • 2 doctors weighed in. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. Splenic flexure syndrome is where gas becomes trapped at the left bend of the colon causing fullness, discomfort and even pain. Any cause of increased splenocolic. (1,2) Acute cholecystitis, or a gallbladder attack, can also cause severe and steady pain in the right ribs. [Google Scholar] Associated Data. The splenic flexure lies at a higher level compared with the hepatic flexure (Fig. Since doing charcoal (wait 2 hours before or after any meds, vitamins or meals), enteric-coated peppermint (ease into these, if used--I got peppermint-scented, burny diarrhea when I took too many!) and digestive enzymes, I finally am successfully getting. Boparai et al compared the miss rate of serrated polyps in patients with SPS using high. Apart from that, you may also go through the below symptoms. Introduction. 10. Corpus ID: 75950487. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. The spleen is a secondary lymphoid. 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. Flexures are areas of the intestine that make. 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. Some people with digestive issues can benefit. Accompanying these anomalies, there may be fever, bloating, abdominal cramping, or spasms of the colon. When the bacteria that break food release a large amount of gas in digestive tract, it can cause the disorder. splenic vascular pedicle demonstrates a whirlpool configuration, pathognomonic feature 12. Splenic flexure volvulus is a rare but serious cause of large bowel obstruction. 148. Irritable Bowel Syndrome. v. Splenic flexure syndrome occurs when gas builds up or becomes trapped in your colon. 11:56. Given the fact that, less than 100 cases have been reported in the literature, this diagnosis is. Hi There, New to the forum as of today. 1). 4. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. Advanced search. 41 (473); 1965 Mar. Splenic parenchyma is divided into two zones based on microscopic histology, i. Common cancer-related complications are regional tumor extension, obstruction, and tumor perforation. The techniques used to perform right and extended right. The splenic flexure takedown is often the most difficult part of the procedure. Narrowing at the splenic flexure, accompanied by distension of both the large and small bowel, was described in 1957. Forum . Its location is what makes you feel as though you have a pain in that specific area. 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. Aim: To investigate phenotypical and clinical characteristics in individuals with high fixation of the splenic angle (HFSA). It has been considered a type of IBS (Irritable bowel syndrome). I was diagnosed with SFS 5 years ago in 2012. These points are retroperitoneal and are. If anyone tries this and it helps, will you post so I can find out if I'm on the right track. g. Advertisement. Splenic flexure syndrome occurs as a result of muscle spasms and abdominal distention leading to pain and discomfort in the upper abdomen. Gas can get trapped within the splenic flexure, causing further pain. Splenic flexure cancer is relatively rare, representing. 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. #1. As a library, NLM provides access to scientific literature. Instead, there is often a nerve or muscle problem. The incidence rate of splenic abscesses has indicated less than 1. 1136/pgmj. My GI doc suspects the gastritis and duodenitis found on upper endoscopy are causing my unexplained weight loss, nausea, abdominal pain, bloating,. This is the American ICD-10-CM version of K59. Splenic Flexure Syndrome. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. Splenic flexure volvulus is an extremely rare cause of intestinal obstruction with possible severe complications. The right colic, or hepatic, flexure unites the ascending and transverse portions, and the transverse and descending parts form the left colic, or splenic, flexure. cervical flexure a bend in the neural tube of the embryo at the junction of the brain and spinal cord. [ 1] On the basis of the clinical presentation, pseudo-obstruction syndromes can be divided into acute and chronic forms. The extrinsic nervous supply comprises the parasympathetic, sympathetic, and somatic nerves. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. Spasms and pain can then radiate up under the left rib area & feel like pain, pressure, spasming or can mimic heart pain. Dilatation of the ascending and transverse colon with distal collapse can be seen in both ACPO and chronic colonic pseudo-obstruction. 2-cm round to oval mass (arrows) with echogenicity identical to that of the spleen at the splenic hilum, suggesting an accessory spleen. This splenic flexure. It has multiple aetiological factors with some encountered much more frequently than others. El dolor se localiza básicamente en la zona superior de nuestro abdomen. Come join the discussion about treatment, diet, health, lifestyles, spirituality, medication, research,. Created for people with ongoing healthcare needs but benefits everyone. An injured spleen can rupture soon after the stomach trauma or, in some cases, days or weeks after the injury. A common symptom of splenic flexure syndrome is the pain and discomfort that you experience in the upper left abdominal area. I’ve ended up in A&E a couple of times due to the severe pain. #1. The liver is the second largest organ weighing around 1500 g, which accounts for 2. El dolor se localiza básicamente en la zona superior de nuestro abdomen. 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. nephrotic syndrome or renal failure. . 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. Splenic flexure colon cancers (SFCs) are relatively rare and account for less than 10% of all colorectal cancers [1, 2]. Sometimes just part of your spleen can be removed, which is called a partial splenectomy. com I was reading that some doctors say that Splenic Flexure Syndrome is a type of IBS whereas others say it is a seperate condition. 0 registered and 99 anonymous users are browsing this forum. Splenic flexure syndrome may also be caused by ulcerative colitis. 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. 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. Extended resection (including distal pancreasectomy and/or splenectomy), has been often indicated for the treatment for the splenic flexure cancer, because the lymphatic drainage at this site is poorly defined and. The meaning of SPLENIC FLEXURE SYNDROME is pain in the upper left quadrant of the abdomen that may radiate upward to the left shoulder and inner aspect of the left arm and that sometimes mimics angina pectoris but is caused by bloating and gas in the colon. 2011. Gas is a normal and healthy part of the digestion process. We know we are lead in our ICD 10 manual to code them as part of the transverse colon under the code D12. Splenic flexure cancer is relatively rare, representing only 2-8% of all. Background The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. On the other hand, the SFS symptoms are very nondescript, IMO, and are common among countless other disorders, illnesses and. They gave him charcoal pills and simethicone, which reduced the gas for a short while before the discomfort grew worse. 4%) underwent extended right hemicolectomy, 24 (23. It is thought to be caused by an abnormal build. Splenic flexure mobilization (SFM) is one of the most difficult steps in laparoscopic colorectal surgery and its role is harshly debated. The term “irritable colon syndrome” is used to embrace a variety of colonic functional disturbances which can be divided into two main. Hello, I haven't been on this forum for a while, but I'm back with another "flare up. A higher incidence of postoperative complications was observed in. This leads to the formation of the splenic abscess. Splenic-flexure syndrome often accompanies IBS. 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. 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. The descending colon lies on the posterior abdominal. The colon is divided into ascending, transverse, and descending parts. Irregularities of the bowel caused by splenic flexure syndrome (SFS) may manifest as diarrhea or as constipation. The spleen enlarges downwards and medially. 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. 1). Try using simet. . 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. I'm hoping to find advice from those suffering specifically from Splenic Flexure Syndrome. the pain moves. No movement for hours (or a few days) coupled with severe pain. Ischemic colitis (also spelled ischaemic colitis) is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. I was referred to a gastro surgeon who had me get barium enama (X-ray of my colon). Recent colonoscopy was unremarkable. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The syndrome occurs when the colon becomes twisted or kinked at. Overthinkingnotdrinking · 26/01/2023 16:22. The 2024 edition of ICD-10-CM D12. I used to when I was backed up all the time, which isn't surprising with your IBS-C. Blood in your stool may be bright or dark red. 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. Concomitant rectosigmoid spasm may also prevent the normal release. One of the most difficult steps of a robotic anterior resection is the splenic flexure mobilization. Very confusing! Splenic flexure syndrome is a condition in which gas builds up in a part of the colon called the splenic flexure. mostly on the left but at times right in the center of my. If any of you has been correctly diagnosed with splenic flexure syndrome and had proper treatment for it, kindly tell me and others here. Chronic condition where gas gets trapped in that section of the colon. Symptoms of sigmoid volvulus include: failing to pass a bowel movement. rectal spasms. severe abdominal pain. Splenic abscesses in dogs are rare. 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. The pelvic splanchnic nerves carry parasympathetic fibers from the S2-4 spinal cord levels to the descending colon and rectum. Splenic flexure syndrome describes gas, bloating, and muscle spasms in the colon and or discomfort in the upper abdominal area. Discussion The splenic flexure is strictly attached to the adjacent organs so its volvulus is rare. Colonic pseudo-obstruction (also known as Ogilvie syndrome) is a potentially fatal condition leading to an acute colonic distention without an underlying mechanical obstruction. ectopically located or malpositioned spleen. occurs more often than right-sided colorectal cancers; is seen more often in men and in people under 65; has tumors that grow along the wall of the colon; often presents with constipation, narrow stools, and other bowel habit changesThe location of the splenic flexure is affected largely by bowel conditions, such as retention of air and faeces in the colon (Fig. I'm a 27 year old female and have had symptoms since I was 14. Splenic Flexure. 4. 9%). Its vascularity, location, and functions make the spleen susceptible to several conditions that may be challenging to evaluate and treat. cases of splenic flexure syndrome were various types Fig. Barium enema study showed obstruction atthesplenic flexure with evidence ofvolvulus (fig. The main symptom of splenic flexure syndrome is abdominal pain. Developer Forum; Europe PMC plus; Search life-sciences literature (Over 39 million articles, preprints and more) Search. Colonic pseudoobstruction can be diagnosed on the basis of CT findings that show extensive colonic dilatation without an obstructive lesion at the intermediate transitional zone or adjacent to. 결장의 비굴곡부는 좌상복부의 비장 전방에 위치하며 횡행결장과 하행결장 사이에서 예각을 이루고 있다. Twenty percent of the 93 cases. 5. Splenic steal syndrome is a controversial diagnosis of hepatic artery hypoperfusion and may represent an underrecognized cause of graft ischemia in the United States. 88%), between the hilum and lower pole of the spleen in 12 (8. What causes right upper quadrant pain on splenic flexure? Ulq pain, when slouching, press just below l ribs and can feel a "pop. e. Given its rarity, this makes the condition difficult to diagnose, and subsequently result in delays in treatment. The inferior splenic margin is blunted, descending. I definitely get that kind of pain, and then I can feel when the air is moving to the intestines and causing pain in lower parts of stomach. That's pretty. . Splenomegaly in children. Diazepam is a benzodiazepine (Benzo) and is highly addictive. At first, mistake in diagnosis of splenic flexure may be occurring but the experience can begin to grow in intensity. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure. Many blood vessels come together at the splenic flexure, so the area is important for blood flow. Overwhelming post-splenectomy infection. El Splenic Flexure Syndrome es sintomático, lo que significa que los alérgenos desencadenarán los síntomas, lo que causa dolor e incomodidad al individuo. Anastomosis donuts COMPLICATIONS: None. 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. My doctor thought it was stomach pain but upon further research the symptoms are more like splenic flexure syndrome. 1-year mortality is approximately 85% with right isomerism and more than 50% with polysplenia syndrome as the latter has less association with congenital heart diseases 11. If there's time, you'll be advised to have certain vaccinations before the operation. Abstract. Splenic flexure syndrome is a condition basically characterized by pain and discomfort of the upper abdomen. 5 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of splenic flexure. In fact, it eliminated 80% of my symptoms when I first started taking it at 2mg per day. Splenic flexure volvulus is responsible for only one per cent of colonic volvuluses 1,3,15. Abstract and Figures. Save Share. Splenic or Hepatic Flexure Syndrome. Performing the flexure release as the initial step of the operation can minimize incision length if conversion were needed later. The imaging diagnosis of splenic flexure syndrome. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. Laparoscopic mobilization of splenic flexure 3. They can also take over one or more of the instruments, if needed. However, there are days when everything shuts down from stomach thru colon. The patients were aged 15-62 years. The meaning of SPLENIC FLEXURE SYNDROME is pain in the upper left quadrant of the abdomen that may radiate upward to the left shoulder and inner aspect of. Splenic flexure syndrome is where gas becomes trapped at the left bend of the colon causing fullness, discomfort and even pain. THE SPLENIC FLEXURE SYNDROME. 86%), at the splenic hilum level in 11 patents (7. B. Splenic flexure syndrome anybody??? OK, I found something on the net called splenic flexure syndrome, which apparently sounds like gas or something is wrong with the splenic flexure of the colon which wraps around the top curve on the left side. v. A total of 1,635 polyps were detected of which 42% were serrated and 13% of those were proximal to the splenic flexure. I have mild to severe gastroparesis depending on the day and also a severe narrowing at the splenic flexure. 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. Bowel Irregularity. A 14-year-old boy with no medical history had severe left upper abdominal pain and. It might have been subsumed into the IBS literature. Introduction. Splenic Flexure, Descending and Sigmoid Colon, Left Half of Transverse Colon, Rectosigmoid and Rectum. In about half of those patients in whom the spontaneous right upper quadrant pain. However, after three months, I had to double the dose to 4mg a day. Wondering if anyone has tried meds. Dilatation of the bowel is classically confined to the cecum and ascending colon with transition near the splenic flexure. Sigmoid colon and partial rectum 2. Corpus ID: 75950487. . []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. The purpose of this review was to define the imaging features of colonic pseudoobstruction and to describe the pathologic findings. The sigmoid colon is the part of the colon closest to the rectum. 0001), and was associated with a longer operative time (260. Certainly both of them are very similiar although SFS is predominantly to do with gas pain. There wasnoischemia andnomention ofunusual mobility ofsplenic flexure. , the splenic flexure and the rectosigmoid junction) are at high risk for ischemia. at times, I have some diarrhea, a lot of gas (sometimes exhibiting as the IBS-related "splenic flexure syndrome," where gas gets trapped in the splenic flexure of the large intestine causing pains & gas bubbles under the left rib-area), and these maybe-GERD-or-IBS-related "burbles" (no. This would contribute to the sounds and pain in the chest area. Hajivassiliou et al. " Just had my 5 year colonoscopy during another flare and got diagnosis of redundant colon, and splenic flexure syndrome. ascending (eight), hepatic flexure (six), transverse (three) and splenic flexure (one). Splenic flexure syndrome is a gastro-intestinal condition that is caused due to entrapment of air or gas in the splenic flexure causing pain and tenderness particularly over the upper left portion of the abdomen. My gastro is wafting between whether I have GERD or IBS. The splenic. It is close to the spleen, hence the name. A forum community dedicated to Irritable Bowel Syndrome and Digestive Health Support. It is roughly the size of an individual’s fist, measuring. Splenic flexure syndrome? binks •. The splenic flexure of the colon is not a common location of primary tumors in patients with a diagnosis of colon cancer. CT. Splenic or hepatic flexure syndrome Symptoms. Many people have gas build-ups from time to time. D12. . Routine laboratory studies were within normal limits. Muscle spasms and abdominal distention are considered as causative of the syndrome. Low anterior resection, rectosigmoid, with primary anastomosis with EEA stapler. Injuries to the colon near the splenic flexure can cause blood loss or low blood pressure. Try using simethicone tablets like Phazyme-125 or Extra Stength or Gas-X. Postgrad Med J. The splenic flexure lies above the hilum of the spleen, regardless of patient demographics 8, and the descending colon runs just ventral or lateral to the left kidney. The presence of congenital heart diseases increases mortality rate.