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Related Concept Videos

Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
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Esophageal Varices-II: Clinical Features and Management

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Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

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Related Experiment Video

Updated: Jun 23, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Splenic flexure volvulus presenting with gangrene.

Norman O Machado1, Pradeep J Chopra, Sureshkannan K Subramanian

  • 1Department of Surgery, Sultan Qaboos University Hospital, PO Box 38, Muscat, Oman. oneilnorman@gmail.com

Saudi Medical Journal
|May 7, 2009
PubMed
Summary
This summary is machine-generated.

Splenic flexure volvulus, a rare cause of bowel obstruction, is often diagnosed via imaging. This case highlights CT scan and X-ray utility in identifying this condition for prompt surgical intervention.

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Last Updated: Jun 23, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Published on: November 15, 2024

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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Splenic flexure volvulus (SFV) is an uncommon cause of colonic obstruction, accounting for 2% of segmental volvulus cases.
  • Primary SFV stems from congenital ligamentous laxity, while secondary SFV can result from prior abdominal surgeries.
  • Accurate preoperative diagnosis is crucial for effective management.

Observation:

  • A young male presented with acute abdominal pain and distension.
  • Radiological imaging, including plain abdominal X-ray and CT scan, demonstrated characteristic findings of SFV.
  • Surgical exploration confirmed gangrenous SFV.

Findings:

  • CT scan and plain abdominal X-ray are valuable tools for preoperative diagnosis of SFV.
  • Laparotomy revealed a gangrenous splenic flexure volvulus.
  • The condition was successfully treated with resection and primary anastomosis.

Implications:

  • Early diagnosis through imaging improves patient outcomes for splenic flexure volvulus.
  • Understanding predisposing factors aids in identifying at-risk individuals.
  • This case contributes to the limited literature on SFV management.