関: transverse colon

WordNet

of or relating to the spleen (同)splenetic, lienal
the state of being flexed (as of a joint) (同)flection, flexion

PrepTutorEJDIC

脾臓(ひぞう)の,脾臓を冒す
屈曲,湾曲;ひだ

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/04/09 01:42:15」(JST)

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The splenic (or left colic) flexure is a sharp bend between the transverse and the descending colon in the left upper quadrant of humans. The left colic flexure is near the spleen, and hence called the splenic flexure. There are two colic flexures in the transverse colon — the other being the hepatic flexure, as it is next to the liver, in the right upper quadrant. The splenic flexure is a watershed region as it receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery, thus making it prone to ischemic damage in cases of low blood pressure because it does not have its own primary source of blood. In the context of ischemia, the splenic flexure is sometimes referred to as Griffith's point, along with the upper rectum (Sudak's point).

Additional images

Intestines
Double Contrast Barium Enema - Using Positive and Negative Contrast

References

External links

Anatomy image: ThoraxF03-20 at the College of Medicine at SUNY Upstate Medical University
Anatomy photo:37:13-0203 at the SUNY Downstate Medical Center

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1. 腸内ガスと膨満 intestinal gas and bloating
2. 結腸切除の概要 overview of colon resection
3. 左結腸切除：開腹術 left colectomy open technique
4. 盲腸軸捻転症 cecal volvulus
5. 右および拡大右結腸切除：開放術 right and extended right colectomy open technique

English Journal

Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography.

Kato K1, Taniguchi M2, Iwasaki Y3, Sasahara K4, Nagase A5, Onodera K6, Matsuda M7, Inaba Y8, Kawakami T4, Higuchi M4, Kobashi Y9, Furukawa H2.
American journal of surgery.Am J Surg.2015 Aug;210(2):374-81. doi: 10.1016/j.amjsurg.2014.10.029. Epub 2015 Mar 26.
BACKGROUND: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula.METHODS: In total, 48 individuals underwent computed tomography-gastro-colonography (CT-GC)-guided PEG placement
PMID 25912624

Diagnostic Accuracy of a Qualitative Fecal Immunochemical Test Varies With Location of Neoplasia But Not Number of Specimens.

Wong MC1, Ching JY2, Chan VC2, Lam TY2, Shum JP2, Luk AK2, Wong SS2, Ng SC2, Ng SS2, Wu JC2, Chan FK2, Sung JJ3.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.Clin Gastroenterol Hepatol.2015 Aug;13(8):1472-9. doi: 10.1016/j.cgh.2015.02.021. Epub 2015 Feb 24.
BACKGROUND & AIMS: We compared the accuracy of a qualitative fecal immunochemical test (FIT) in identifying patients with proximal vs distal advanced neoplasia and evaluated whether analysis of 2 specimens performed better than analysis of 1 specimen. Distal advanced neoplasia was defined as col
PMID 25724708

Ischemic colitis: spectrum of CT findings, sites of involvement and severity.

Cruz C1, Abujudeh HH, Nazarian RM, Thrall JH.
Emergency radiology.Emerg Radiol.2015 Aug;22(4):357-65. doi: 10.1007/s10140-015-1304-y. Epub 2015 Mar 3.
To summarize the frequency of findings on IV contrast, enhanced computer tomography (CT) in 335 patients with pathologically proven ischemic colitis (IC) determine the most frequent locations and patterns of involvement and establish the correlation of these findings with the severity of IC. 231 pat
PMID 25732355

Japanese Journal

胃結腸瘻をきたした横行結腸癌の2例

岸本拓磨,岡田禎人,林英司,太平周作,石田陽祐
日本臨床外科学会雑誌 76(2), 327-331, 2015
症例1は74歳，男性．数日前からの食思不振あり，急性発症の腹痛を主訴に当院救命救急センター受診した．腹部造影CTにて横行結腸脾彎曲側に腫瘤を認め，胃への直接浸潤を認めた．下部内視鏡検査にて横行結腸に全周性腫瘍を認め，上部内視鏡検査では胃体中部に壁外性腫瘍の浸潤所見を認めた．結腸生検より低分化腺癌を認め，横行結腸癌および横行結腸癌による胃結腸瘻と診断した．結腸左半切除術，胃分節切除術を行った．症例2 …
NAID 130005095219

経過をたどることのできたdiverticular colitisの1例

坪井真代,岡本真,金井祥子,關場一磨,松村梓,黒岩貴之,斎藤友隆,大前知也,赤松雅俊,関邦彦
Progress of Digestive Endoscopy 86(1), 196-197, 2015
… Colonoscopy showed stenosis near the splenic flexure, and segmental inflammation of the mucosa. …
NAID 130005084289

腸間膜穿通をきたしたcollagenous colitisの1例

黒田顕慈,仲田文造,天道正成,中尾重富,堀武治,横松秀明,西下正和,石川哲郎
日本腹部救急医学会雑誌 35(3), 293-297, 2015
72歳の男性が，突然の左側腹部痛と水様便を認めたため，当院を受診した。腹部単純CT検査を施行したところ，下行結腸周囲に消化管外ガス像と周囲脂肪織濃度の上昇を認めた。結腸穿孔による腹膜炎と診断し，緊急手術を施行した。腹腔鏡で観察したところ，結腸脾弯曲部の著明な発赤と浮腫を認め，腸間膜への穿通が考えられた。腹腔内汚染は軽度であり，腹腔鏡補助下で結腸部分切除術を行った。切除標本の粘膜に縦走潰瘍を2条認め …
NAID 130005075918

「脾彎曲部」

Splenic flexure
	Colorectal anatomy; (the splenic flexure is labeled at upper right).
	Front of abdomen, showing surface markings for liver, stomach, duodenum, pancreas, colon; (the left colic flexure is labeled at upper right).
Details
Precursor	Hindgut
Identifiers
Latin	Flexura coli sinistra, flexura splenica
TA	A05.7.03.005
FMA	14551
	Anatomical terminology [edit on Wikidata]

　　[★]

英: splenic flexure
関: 横行結腸、脾結腸曲、脾弯曲部

「transverse colon」

　　[★]

横行結腸

関: colon transversum、splenic flexure

「脾弯曲部」

　　[★]

英: splenic flexure
関: 脾彎曲部、脾結腸曲

「脾結腸曲」

　　[★]

英: splenic flexure
関: 脾彎曲部、脾弯曲部

「splenic」

　　[★]

adj.

脾臓の

関: spleen

「flexure」

　　[★]

曲、弯曲部

リンク元	「脾彎曲部」「transverse colon」「脾弯曲部」「脾結腸曲」
関連記事	「splenic」「flexure」

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案内

案内

splenic flexure