While the reported diagnostic sensitivity of radiography for the detection of constipation is 84, the reported specificity is 72. This should be considered as part of operative strategies for left colon resection. Radiography, also known as plain film or X-ray, is a widely available, inexpensive, and easily obtained imaging test to assess for constipation. All three splenic flexure ligaments were congenitally absent. The radiological findings were confirmed with the splenic flexure of the colon having rotated 360° along its mesentery (fig 3). Splenic flexure lies above the hilum of the spleen in majority of patients. Abdominal computed tomography scan: splenic flexure volvulus. Patient demographics showed no statistical significance in regard to splenic flexure location. The splenic flexure was above the hilum of the spleen in 95 patients (67.86%), at the splenic hilum level in 11 patents (7.88%), between the hilum and lower pole of the spleen in 12 (8.57%), at the lower pole of the spleen in 15 (10.7%) patients and 7 (5%) patients has a splenic flexure that lied below the lower pole of the spleen. In this chapter, we concentrate on the lateral approach, which is commonly performed during sigmoid colectomy. Statistical analysis was performed using Fisher's exact test. Mobilization of the Splenic Flexure Splenic flexure mobilization may be performed during low anterior resection, sigmoid colectomy, left colectomy, or total colectomy. These levels were compared with patient demographics. The level of the splenic flexure was determined in relation to hilum and lower pole of spleen.
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One hundred and sixty CT scans of abdomen were reviewed. To minimize this risk, we conducted this study for CT scan mapping of splenic flexure in relation to the spleen. The maneuver places the spleen at risk for injury. Splenic flexure mobilization is a challenging step during left colon resection.