A.C.V.S., in, 2004 What Happens At The Hepatic Flexure Of The ColonĤ/5 intestine intestine colon colon right colic flexure colon flexure answered comprehensively Close relationship of the splenic flexure to the spleen and the tail of the pancreas are taken care of while performing a left hemicolectomy. The descending colon lies on the posterior abdominal wall muscles and is closely related to the left ureter. It turns downwards as the descending colon, which, like the ascending colon, is retroperitoneal. It is held on to the diaphragm by a peritoneal fold, the phrenicocolic ligament on which the spleen sits. The splenic flexure lies at a higher level compared with the hepatic flexure. No masses were palpable on abdominal examination.įig 1 Axial computed tomogram of the abdomen Splenic Flexure And The Descending Colon Her blood pressure was 117/54 mm Hg when lying and 52/31 mm Hg when standing. On examination she appeared cachectic with evidence of conjunctival pallor. Her son had died at 60 years of age from large bowel obstruction and perforation secondary to colon cancer. Among other drugs, she was taking lisinopril, bendroflumethiazide, and levothyroxine. Her medical history included hypertension, hypothyroidism, and anaemia. She had felt generally weak for more than a year, with weight loss of 56 lb but no change in bowel habit, dysphagia, or gastrointestinal bleeding. She recalled standing from her chair, feeling lightheaded, and then collapsing.

Correspondence to: J Naqvi Ī 92 year old woman presented to the emergency department after collapsing at home.1University Hospital of South Manchester, Manchester M23 9LT, UK.Sarah Duff, consultant colorectal surgeon.Velauthan Rudralingham, consultant gastrointestinal radiologist ,.Gill Watts, consultant gastroenterologist ,.Jawad Naqvi, academic foundation doctor,.Robotic Approach To Right And Left Flexure Colon Cancer

Flexture point