OBSERVATIONS ON THE SPLENIC FLEXURE SYNDROME
Authors: T E MACHELLA, H J DWORKEN, F J BIEL
Journal: Annals of Internal Medicine (1952)

Article1 September 1952OBSERVATIONS ON THE SPLENIC FLEXURE SYNDROMETHOMAS E. MACHELLA, M.D., F.A.C.P., HARVEY J. DWORKEN, M.D., FRUCTUOSO J. BIEL, M.D.THOMAS E. MACHELLA, M.D., F.A.C.P.Search for more papers by this author, HARVEY J. DWORKEN, M.D.Search for more papers by this author, FRUCTUOSO J. BIEL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-37-3-543 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the past several years we have seen a number of patients because of chest pain and other manifestations which led their physicians to suspect or even to diagnose coronary artery disease. The symptoms were due to a non-coronary cause, namely, the "splenic flexure syndrome." A few of the patients had been living the lives of cardiac invalids, retired from useful occupations and with activities markedly restricted. A number of them were sent by their physicians to the Cardiac Section, where no cardiac lesion was found. They were then referred to us for evaluation from a gastrointestinal standpoint. Fluoroscopic examination...Bibliography1. KernAlmyStolk FTPNJ: Effects of certain antispasmodic drugs on the intact human colon with special reference to Banthine, Am. J. Med. 11: 67, 1951. CrossrefMedlineGoogle Scholar2. Kantor JL: Functional disturbances of the colon, in Portis, Diseases of the digestive system, 1944, Lea and Febiger, Philadelphia, Chapter 26, pp. 554-562. Google Scholar3. Seward C: The diagnosis and treatment of spastic colon, Med. Press 217: 289, 1947. MedlineGoogle Scholar4. Jordan SM: Colonic dysfunction, New York State J. Med. 49: 1802, 1949. MedlineGoogle Scholar5. Collins EN: Functional indigestion, Pennsylvania M. J. 55: 21, 1952. MedlineGoogle Scholar6. Bockus HL: Gastroenterology, 1944, W. B. Saunders Co., Philadelphia, Vol. II, p. 394. Google Scholar7. JonesPierce CMFD: The mechanism and reference of pain from the lower intestinal tract, Tr. A. Am. Physicians 46: 311, 1931. Google Scholar8. Jones C: Digestive tract pain, 1938, Macmillan Co., New York. Google Scholar9. Piersol GA: Human anatomy, 1907, J. B. Lippincott Co., Philadelphia. Google Scholar10. Alvarez WC: An introduction to gastroenterology, 4th Ed., 1948, Paul B. Hoeber, New York, p. 675. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Presented at the Thirty-third Annual Session of the American College of Physicians, Cleveland, Ohio, April 22, 1952.From the Gastro-Intestinal Section, Kinsey-Thomas Foundation, of the Medical Clinic, Hospital of the University of Pennsylvania, Philadelphia, Pa. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAerofagiaNon-Ulcer DyspepsiaChest pain with normal coronary anatomy: A review of natural history and possible etiologic factorsChest Pain: Cardiac and Noncardiac CausesNoncardiac causes of angina-like chest painTHE SYMPTOM PATTERNS OF GASEOUSNESSChest PainTHE CLINICAL IMPORTANCE OF GASTRO-INTESTINAL GAS, ESPECIALLY IN RELATIONSHIP TO CARDIOVASCULAR DISEASEHYPERVENTILATION FROM ORGANIC DISEASE*PHILIP R. ARONSON, M.D.Thoracic Pain of Cardiac Origin: I. Pathogenesis and Differential DiagnosisAerophagia: Its Etiology, Syndromes and ManagementClinical experiences with the splenic flexure syndrome and the hepatic flexure syndromeDifferential Diagnosis of Pain in the Upper AbdomenMECHANISMS UNDERLYING SOME EPIGASTRIC SYMPTOMSTHE HYPERVENTILATION SYNDROME*BERNARD I. LEWIS, M.D., F.R.C.P.(C)., F.A.C.P. 1 September 1952Volume 37, Issue 3Page: 543-552KeywordsGastroenterology and hepatologyHospitalsIschemiaLesionsStable coronary artery disease ePublished: 1 December 2008 Issue Published: 1 September 1952 PDF downloadLoading ...