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Splenic flexture
Splenic flexture










splenic flexture

(a and b) Barium enema and spot film demonstrate an annular constricting lesion of the distal ascending colon. Acute suppurative pancreatitis with extension to hepatic flexure. More directly irritative effects may be manifested by spasm and edema18 (Figs. This often represents a paralytic ileus secondary to the extravasated enzymes within the transverse mesocolon (Figs. On plain films, the most common abnormality in the large intestine in cases of acute pancreatitis is gaseous distention of the transverse colon. Acute pancreatitis with extension to hepatic flexure.īarium enema shows diffuse mild spasm and edematous mucosal changes of the hepatic flexure and distal ascending colon from extension of extravasated pancreatic enzymes via the right anterior pararenal compartment. In my ex-perience,2 as well as that of others,14-17 this is by far the most common single site involved.įig. Brascho and co-authors13 found the gaseous dilatation to involve the ascending and entire transverse colon, with the cut-off point at the splenic flexure. This was a constant finding in both supine and erect plain films of the abdomen in six patients with acute pancreatitis. Stuart12 employed it to designate collapse with absence of gas in the midportion of the transverse colon, which appeared to be cut off from the gas-containing hepatic and splenic flexures. Since Price's report, however, the term "colon cut-off" sign has lost its original definition and has been applied to multiple sites of spasm and narrowing of the colon secondary to pancreatitis.












Splenic flexture