![]() The proposed study will be hospit al- based prospective case-control study.Īll angiographic techniques and TACE will be performed in well prepared angiographic and interventional room using Philips-Medical system machine in Mansoura University Hospital.Īll procedures will be performed via the transfemoral route. Of lesser curvature of the stomach that can be treated byĪfter acceptance of the study proposal, the study team will apply for an IRB approval from Mansoura University Hospitals. Loaded by fecal matter is one of causes of extrinsic compression Then Esophagogastroduodenoscopy repeated for the patientĪnd revealed disappearance of previous compression of lesserĬurvature of the stomach by colonic splenic flexure.ĬONCLUSIONS: High position of colonic splenic flexure In the form of Macrogol 3350 was started for two weeks andįollowed by improvement in clinical condition of the patient. Then the patient referred to radiologist for triphasicĪbdominal CT which revealed high position of colonic splenicįlexure loaded by fecal matter and gases and compress the Revealed extrinsic compression of lesser curvature of the RESULTS: The Esophagogastroduodenoscopy was done and Prokinetics for two weeks but there is no improvement. The medications started to the patient in the form of PPI and pylori antigen in stool, renal function tests and liverįunction tests but all Laboratory results showed normal values. Investigations for the patient were done in the form METHODS: A 45 years old female came to our departmentĬomplained of sever epigastric pain, vomiting and abdominalĭistension. Radiology Department, and 3Mansoura University Hospital,ĪIMS: We present a case of a patient with epigastric painĪccompanied by abdominal distension due to uncommon Shaker Wagih Shaltout1, Ashraf AbdelRahman2, HatemġMansoura University Hospital, Tropical Medicineĭepartment, 2Mansoura University Hospital, Diagnostic The sigmoid colon ends at the level of S3, where it merges with the rectum.FLEXURE LOADED BY FECAL MATTER AS A CAUSE The sigmoid mesocolon becomes shorter as it enters the pelvis, and ends altogether down here. The sigmoid colon passes down into the pelvic cavity: there's a lot of it down there, which we'll bring out.Īs it passes into the pelvic cavity the sigmoid colon approaches the midline. The sigmoid colon forms a large freely mobile loop that's attached by this double sheet of peritoneum, the sigmoid mesocolon. A little below the iliac crest, which is here, the descending colon is continuous with the sigmoid colon. ![]() Just like the ascending colon, it's fixed to the posterior abdominal wall. The splenic flexure lies just below the spleen, and in front of the left kidney, which is back here.īelow the splenic flexure is the descending colon. With the colon in its natural location the splenic flexure is out of sight, right up here. The splenic flexure lies just below the spleen, and. The transverse colon ends higher and even further back than it started, at this sharp downward turn, the left colic flexure, or splenic flexure. The two structures are connected, as we've seen, by the part of the greater omentum that's known as the gastro-colic ligament. The transverse colon hangs down in a curve that's parallel to the greater curve of the stomach. This is the divided root of the mesentery. It crosses the head of the pancreas, which is here, and also the duodenum, which is here. We'll take the transverse colon out of the picture to see its attachment. The real attachment of the transverse colon, which we can see when we pull it upwards, is this double sheet of peritoneum, the transverse mesocolon. The omentum isn't he real attachment of the transverse colon: it's only loosely adherent to it. ![]() In its natural location it's partly hidden by the geater omentum that clings to its anterior surface. Here the transverse colon has been pulled upward, along with the greater omentum. The transverse colon crosses the abdominal cavity from right to left. The hepatic flexure lies just below the lowest part of the liver, and the gall bladder, and in front of the lower part of the right kidney, which is back here. The ascending colon ends a long way back at this sharp 90° turn, the right colic flexure, or hepatic flexure. It's held in place by the peritoneum of the posterior abdominal wall, which covers it on the front and sides.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |