A follow-up CT scan three days later showed no progression of the hematoma. Splenic flexure syndrome is a digestive disorder that causes gas to accumulate in your colon. Gas is a normal and healthy part of the digestion process. The splenic flexure is situated next to the spleen and a section of the large intestine or colon. She was treated conservatively and her symptoms gradually improved. If the splenic flexure has a very acute angle, the push of the colonoscope by the nurse does not obtain the advancement, but rather a concentrated pressure (. 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. Computed tomography (CT) of the abdomen and pelvis with contrast (see accompanying figure) revealed a large splenic hematoma and an incidental hepatic cyst. Laboratory tests revealed a hemoglobin level of 11.4 g per dL (114 g per L), International Normalized Ratio of 0.95, normal white blood cell and platelet counts, and normal blood chemistries. What does takedown of splenic flexure mean Introduction: Take down of the splenic flexure is a crucial part of laparoscopic anterior resection.It allows a tension-free anastomosis and a proper exteriorisation of the specimen with the ligated origins of the inferior mesenteric vessels through a minilaparotomy located in the lower abdomen. On presentation to the emergency department, vital signs were normal and physical examination was notable for obesity and mild tenderness to palpation in the left upper abdominal quadrant. The colonoscopy was done under propofol sedation and the only abnormal finding was mild diverticulosis of the left colon. To the editor: A 56-year-old woman presented to the emergency department with left-sided pleuritic chest pain and upper abdominal pain that began the previous day after a reportedly uneventful diagnostic colonoscopy for occult blood positivity.
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