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Intermediate Technical IVT

splenic flexure

Anatomical bend of the colon between the transverse and descending segments, near the spleen.

Full Definition

The sharp bend in the colon located at the junction between the transverse colon and descending colon, positioned in the left upper quadrant near the spleen. This area has relatively poor blood supply compared to other colonic segments and is a common location for ischemic colitis. Surgical mobilization of the splenic flexure is often necessary during left colonic resections and can be technically challenging due to its high position and proximity to the spleen, pancreas, and stomach.

Usage

Usage note: Distinguished from hepatic flexure, which is the bend between ascending and transverse colon on the right side.

In Context

  • "Mobilization of the splenic flexure was performed to achieve tension-free anastomosis." — Operative report
  • "CT imaging revealed focal ischemic changes at the splenic flexure." — Radiology interpretation

Also known as

left colic flexure

Don't confuse with

hepatic flexure

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