
	Where results make sense

Topic: Hepatic flexure

In the News (Mon 7 Dec 09)

Northern Trust

Marvin Harrison

Peter Chernin

Gary Locke

Match Play

Penelope Cruz

Mickey Rourke

AR Rahman

Danny Boyle

Hugh Jackman

	MIR Teaching file case pt003 (Site not responding. Last check: 2007-10-21)
		In light of the previous history of rectal carcinoma, a PET study was requested to evaluate for metastatic disease prior to resection of the hepatic flexure lesion.
		Diagnosis: Tubulovillous adenoma of the colon hepatic flexure.
		A single focus of moderately increased activity was found in the area of the previously described sessile mass in the ascending colon hepatic flexure suspicious for malignancy.
	gamma.wustl.edu /pt003te173.html (459 words)

	Text for Abdomen Module
		It is ensheathed along with the common hepatic artery and common bile duct in the hepaticoduodenal ligament and form the portal triad entering through the portal hepatis.
		It is related to the 12th rib posteriorly and to the liver, duodenum, and hepatic flexure of the colon anteriorly.
		Another branch of the common hepatic artery is the proper hepatic artery, which supplies blood to the liver.
	www.med.wayne.edu /diagRadiology/Anatomy_Modules/Abdtext.html (3232 words)

	Reference.com/Encyclopedia/Hepatic flexure
		A colic flexure is a flexure (a 'bend') in the colon.
		There are two colic flexures in the transverse colon.
		The right colic flexure is adjacent to the liver, and is therefore also known as the hepatic flexure.
	www.reference.com /browse/wiki/Right_colic_flexure (93 words)

	UAMS Department of Anatomy - Viscera of the Abdomen
		part of the large intestine that is continuous with the transverse colon at the left colic (splenic) flexure and the sigmoid colon at the pelvic brim
		hepatic flexure lies anterior to the lower part of the right kidney and inferior to the right lobe of the liver; also known as: right colic flexure
		transverse colon is continuous proximally with the ascending colon at the right colic (hepatic) flexure; it is continuous distally with the descending colon at the left colic (splenic) flexure; it is suspended from the posterior abdominal wall by the transverse mesocolon
	anatomy.uams.edu /anatomyhtml/viscera_abdomen.html (4012 words)

	ABDOMINAL VISCERA (Site not responding. Last check: 2007-10-21)
		After giving off the gastroduodenal artery, it becomes the proper hepatic artery, which divides into right and left hepatic arteries (thirty percent of the blood flow into the liver is through these arteries, the rest is from the portal vein).
		It is suspended on a mesentery, the transverse mesocolon, from the posterior abdominal wall between hepatic and splenic flexures.
		It extends from the splenic flexure to the sigmoid colon.
	cats.med.uvm.edu /cats_teachingmod/gross_anatomy/abdomen/pages/abdominal_viscera.html (2643 words)

	Right Hemi-Colectomy Mobilising the right colon and ileum (Site not responding. Last check: 2007-10-21)
		Extend the scissor incision upwards to the hepatic flexure of the colon.
		The aim is to free the hepatic flexure of the colon and that part of the greater omentum which is attached to it.
		It is also sensible to include the hepatic flexure in the resection in case the ligation of the right colic artery devascularises the hepatic flexure.
	www.edu.rcsed.ac.uk /lectures/lt6_7.htm (1727 words)

	Commonly Used Words and Definitions
		Hepatic flexure: The right-angle bend in the colon on the right side of the body near the liver that marks the junction of the ascending colon and the transverse colon; also called right colic flexure.
		Sigmoidopexy: Surgical attachment of the sigmoid flexure to the wall of the abdomen for relief of rectal prolapse.
		Splenic flexure: The bend of the colon under the spleen where the transverse colon joins the descending colon; also called the left colic flexure.
	www.colonrectal.org /patientinfo/definitions/definitions.htm (5342 words)

	HIDI Colonoscopy (Site not responding. Last check: 2007-10-21)
		Once the splenic flexure has been passed, the transverse colon is often easy to negotiate and the hepatic flexure is seen as an acute bend.
		When the hepatic flexure is seen, air should be aspirated to collapse the flexure towards the tip of the colonscope, which should then be steered around the bend.
		If difficulty is encountered in passing the hepatic flexure, and the patient is in the supine or right lateral position, then positioning the patient in the left lateral position will often help.
	www.edu.rcsed.ac.uk /HowIDoIt/colonoscopy.htm (4493 words)

	Anatomy Atlases: Atlas of Human Anatomy in Cross Section: Topography of the Thorax and Abdomen
		Eycleshymer and Schoemaker report the hepatic flexure to lie, on average, at the level of the second lumbar disk with the range of variation being from the eleventh thoracic disk to the lower third of the third lumbar vertebra.
		Eycleshymer and Schoemaker found the position of the Splenic flexure of the colon to vary from the ninth thoracic disk to a level between the upper and middle thirds of the second lumbar vertebra.
		With reference to the anterior thoracic wall, Eycleshymer and Schoemaker found the upper margin of the Splenic flexure nearly opposite the seventh rib, and Fromont indicated that it is usually at the level of the seventh or eighth rib.
	www.anatomyatlases.org /HumanAnatomy/Topography/Colon.shtml (369 words)

	YourSurgery.Com®-Colectomy
		The hepatic flexure is where the ascending colon joins the transverse colon.
		The splenic flexure is where the transverse colon merges into the descending colon.
		The ascending colon is about eight inches in length, extends upwards from the cecum to the hepatic flexure near the liver
	www.yoursurgery.com /ProcedureDetails.cfm?BR=1&Proc=17 (426 words)

	Chapter 12: Colon and Rectum
		Connecting the ascending colon to the transverse colon is the hepatic flexure which lies under the right lobe of the liver near the duodenum.
		The transverse colon is connected to the descending colon by the splenic flexure which is located near the spleen and tail of the pancreas.
		The anatomic areas of the colon and rectum are: cecum (1); ascending colon (2); hepatic flexure (3); transverse colon (4); splenic fixture (5); descending colon (6); sigmoid (7); rectosigmoid (7.5); rectum (8); anal canal (9);.
	ajcc.chat.ru /INFO12.htm (2435 words)

	LAPAROSCOPIC EXCISION OF AN INTRA-ABDOMINAL SCHWANNOMA (Site not responding. Last check: 2007-10-21)
		Barium enema demonstrated extrinsic pressure on the hepatic flexure of the colon.
		The mass was found to be arising from the greater omentum and adherent to, but not infiltrating, the wall of the hepatic flexure of the colon.
		The mass was then mobilized from the colon and the greater omentum with relative ease, using a combination of sharp dissection and electrocautery, and a large feeding vessel was clipped and divided.
	www.kfshrc.edu.sa /annals/171/95-343.html (687 words)

	gihealth.com - built for patient satisfaction
		As the scope is passed into the colon, certain landmarks are used to tell what part of the colon is being examined.
		A common landmark is called the hepatic flexure.
		The bluish triangular shape that you can see in this videoclip is the shadow that your liver makes as it touches the wall of your colon, thus the name hepatic flexure.
	www.gihealth.com /html/education/video/hepaticFlexure.html (167 words)

	Dorlands Medical Dictionary
		cerebral flexure, cervical flexure, a bend in the neural tube of the embryo at the junction of the brain and spinal cord; called also head bend, neck bend, and nuchal f.
		dorsal flexure, one of the flexures of the embryo in the mid-dorsal region.
		pontine flexure, a flexure in the hindbrain of the embryo; called also basicranial f.
	www.merckmedicus.com /pp/us/hcp/thcp_dorlands_content.jsp?pg=/ppdocs/us/common/dorlands/dorland/dmd-f-021.htm (1831 words)

	Duodenum, Pancreas, Liver & Gallbladder - Dissector Answers
		Continuing that line of thought, the hepatic veins are similar to the pulmonary veins in that they reside between lobes (segments) and drain blood from two or more adjoining areas.
		Other uncommon variations include: cystic artery as branch of a normal proper hepatic artery (6%), cystic artery from left hepatic artery, crossing anterior to the bile duct(s) (3%), and cystic artery as an independent branch of the gastroduodenal artery, again crossing anterior to the duct (3%).
		Hepatic veins are are formed by the union of the central veins of the liver and open into the IVC just inferior to the diaphragm.
	www.med.umich.edu /lrc/coursepages/M1/anatomy/html/abdomen/duodenum_ans.html (2579 words)

	ABDOMEN (Site not responding. Last check: 2007-10-21)
		The descendingcolon extends from the left colic flexure to the brim of the plevis, where it becomes the sigmoidcolon.
		Now find the hepatic artery, and trace it via the common hepatic artery to the celiac trunk (Netter 282, 283), which is a branch of the aorta.
		Identify the three major branches of the celiac trunk: the common hepatic, the splenic and the left gastric.
	www.umanitoba.ca /Medicine/Anatomy/bmr/ABDOMEN.htm (1461 words)

	Virtual Hospital: Atlas of Human Anatomy in Cross Section: Topography of the Thorax and Abdomen (Site not responding. Last check: 2007-10-21)
		Eycleshymer and Schoemaker report the hepatic flexure to lie, on average, at the level of the second lumbar disk with the range of variation being from the eleventh thoracic disk to the lower third of the third lumbar vertebra.
		Eycleshymer and Schoemaker found the position of the Splenic flexure of the colon to vary from the ninth thoracic disk to a level between the upper and middle thirds of the second lumbar vertebra.
		With reference to the anterior thoracic wall, Eycleshymer and Schoemaker found the upper margin of the Splenic flexure nearly opposite the seventh rib, and Fromont indicated that it is usually at the level of the seventh or eighth rib.
	www.vh.org /adult/provider/anatomy/HumanAnatomy/Topography/Colon.html (241 words)

	Cancerous Colonic Obstruction at Hepatic Flexure Relieved by Herbs
		A large mass was found obstructing the colonic passage at the hepatic flexure.
		The gastroenterologist performed a colonoscopy and found a large mass, obstructing the passage of the colonoscope, at the hepatic flexure (Fig.
		Plate 1: Cancerous obstruction at the hepatic flexure as seen through the colonoscope.
	www.ispub.com /ostia/index.php?xmlFilePath=journals/ijam/vol3n1/herbs.xml (1109 words)

	An Uncommon Cause of Small Bowel Obstruction -- Answer (Site not responding. Last check: 2007-10-21)
		The arrow points to a connection between what is likely the duodenal bulb and the hepatic flexure of the colon.
		We can't be sure whether there was a stone that passed through the duodenal bulb into the colon, or whether the inflammatory and necrotic mass associated with the cholecystitis caused the connection.
		The hepatic flexure, gallbladder, and duodenum are very close to each other.
	www.medscape.com /content/2004/00/47/99/479928/ans4.html (126 words)

	CS Mets at DX (Site not responding. Last check: 2007-10-21)
		Cecum, appendix, ascending, hepatic flexure and transverse colon:
		For cecum, appendix, ascending colon, transverse colon, and hepatic flexure:
		For splenic flexure, descending colon, and sigmoid colon:
	training.seer.cancer.gov /module_collab_stage/x_ins_colon08_mets_at_dx.html (52 words)

	Korean Journal of Radiology
		Subsequent CT scanning showed a markedly dilated small bowel and ascending colon, with concentric, hyperattenuating, focal wall thickening in the hepatic flexure of the ascending colon (Fig.
		At surgery, the hepatic flexure of the ascending colon was found to be completely obstructed by a hard concentric mass, and about 15 cm of the terminal ileum, just proximal to the ileocecal valve, was markedly dilated and diffusely thickened.
		Contrast-enhanced CT scan reveals colonic obstruction, with a well- enhanced concentric mass lesion visible in the hepatic flexure of the colon (arrows).
	www.kjronline.org /abstract/view_articletext.asp?year=2001&page=235 (1539 words)

	Minimally Invasive Surgery Program -- Case of the Month (Site not responding. Last check: 2007-10-21)
		The hepatic flexure was divided using the harmonic scalpel.
		The splenocolic ligament was divided with the harmonic scalpel, and the splenic flexure was completely mobilized.
		The mesentery was divided from the splenic flexure down to the rectum.
	www.upmc.edu /MinSurg/ColectomyCase (1421 words)

	the GASTROLAB Gastrointestinal Site
		The hepatic flexure is not always easy to identify.
		Often the liver is however visible through the colonic wall, however, the impression of the liver can be very identical to that of the spleen.
		It is often possible to see the light through the abdominal wall, and thus to be sure that the tip of the instrument really is in the upper right region in the hepatic flexure region.
	www.gastrolab.net /c2g01.htm (115 words)

	MIR Teaching file case gi009 (Site not responding. Last check: 2007-10-21)
		Subsequent tagged RBC study demonstrated active bleeding within the colon at the hepatic flexure.
		Delayed (60-90 minute) images demonstrate a site of active bleeding located at the hepatic flexure with activity increasing in intensity over time, peristalsing distally and also moving dependently in a retrograde fashion to pool in the cecum.
		Only after evaluating the dynamic cine images does it become apparent that the bleeding originates in the region of the hepatic flexure and reaches the cecum through dependent pooling.
	gamma.wustl.edu /gi009te177.html (448 words)

	Re: Wheat lectins in hepatic or splenic flexure
		Re: Wheat lectins in hepatic or splenic flexure
		Material presented for information purposes only and should not be construed to replace the services of a physician.
		Most assuredly, we all most likely have those nasty little paste balls clogging up the hepatic or splenic flexure areas.
	www.dadamo.com /forum/archive4/config.pl?read=297 (185 words)

	Familiar Polyposis, EL SALVADOR ATLAS of Gastrointestinal VideoEndoscopy
		Retroflexed view of ascending colon near the hepatic angle.
		Retroflexed view of the same case at the hepatic angle.
		A large twisted stalk and the polyps are seen.
	www.gastrointestinalatlas.com /English/Colon_and_Rectum/Familiar_Polyposis/familiar_polyposis.html (617 words)

	Thieme: Fachzeitschriften: Endoscopy (Site not responding. Last check: 2007-10-21)
		An emergency exploration revealed a rigid left colon, strictured ileum characteristic of Crohn's disease, diffuse peritonitis, pneumoretroperitoneum, pneumatosis cystoides of the right colon, and a small area of biliary retroperitoneal imbibition of the hepatic flexure.
		The macroscopic examination of the specimen revealed a solitary acute ulcer on the otherwise unaffected hepatic flexure (Figure 1).
		In our case, the air insufflation during sigmoidoscopy led to an indirect retroperitoneal perforation of an acute ulcer in the hepatic flexure.
	www.thieme.de /fz/endoscopy/03_01/uctn_01.html (390 words)

	Laboratory Identifications and Relations - Abdominal Cavity and Vasculature (Site not responding. Last check: 2007-10-21)
		Lesser omentum - connecting the liver to the lesser curvature of the stomach and to the region of the duodenal cap, has named parts (hepatogastric and hepatoduodenal ligaments) that are visceral ligaments (two layers of peritoneum), continuous with coronary ligament and falciform ligament, ventral mesentery
		Hepatoduodenal ligament - connecting liver (porta hepatis) to the duodenal cap, envelopes the common bile duct, hepatic proper a., and the portal vein, forms inferior boundary of the epiploic foramen.
		Right colic flexure - transition from ascending to transverse colon, notice that this is lower than the left colic flexure (the liver is a bully)
	www.humangrossanatomy.ws /anatlab/abdcav.htm (1199 words)

	Gas Pains - New Treatments, January 22, 2005 (Site not responding. Last check: 2007-10-21)
		If gas accumulates in the hepatic flexure, discomfort may be experienced in the right upper quadrant (hepatic flexure syndrome), which could be confused with biliary tract disease.
		Cholecystectomy will not relieve the discomfort if a patient with gallstones is experiencing the hepatic flexure syndrome.
		Accumulation of gas in the splenic flexure could result in discomfort of the left upper quadrant (splenic flexure syndrome), which may radiate to the precordial area, simulating cardiac disease.
	www.ccspublishing.com /journals3a/gas_pains.htm (357 words)

	Re: IBS pain relief? I might have found it.
		The reason this is so, IN MY OPINION, has to do with what is called the splenic flexure of our large intestine (left side) and hepatic flexure of our large intestine (right side).
		What this means is that these two flexures are where our colons go from the horizontal position to the vertical position, one on the left by our spleen ("splenic" flexure) and one on the right by our liver ("hepatic" flexure).
		These flexures are where there seems to be a lot of gas buildup in people with IBS.
	www.medhelp.org /forums/gastro/archive/4110.html (485 words)

Try your search on: Qwika (all wikis)