What is a polyp in hepatic flexure?
Histologically an inflammatory fibroid polyp is characterized by a mixture of numerous small vessels, fibroblasts and edematous connective tissue associated with marked inflammatory infiltration by eosinophils. We present a rare case of a pedunculated inflammatory fibroid polyp in the hepatic flexure of the colon.
Can hepatic flexure polyp be cancerous?
These types of polyps are not cancer, but they are pre-cancerous (meaning that they can turn into cancers). Someone who has had one of these types of polyps has an increased risk of later developing cancer of the colon. Most patients with these polyps, however, never develop colon cancer.
Where is a hepatic flexure polyp located?
The polyps are usually solitary, and although most commonly detected in adults they can be found in all age groups [6]. IFPs are most commonly located in the gastric antrum followed by the small bowel and rarely the esophagus and colon [7]. Endoscopically IFP is a smooth sessile or pedunculated polyp.
How long does it take for a polyp to turn into cancer?
A polyp can take as many as 10 to 15 years to develop into cancer. With screening, doctors can find and remove polyps before they have the chance to turn into cancer.
What happens at the hepatic flexure?
Macroscopic Anatomy The right colic or hepatic flexure separates the ascending and transverse colon, and the left colic or splenic flexure separates the transverse and descending colon. In dogs and cats, the large intestine contributes 20% to 25% of the total (small and large) intestinal length.
What is the next step if a colon polyp is cancerous?
If a polyp has cancerous cells, they will also biopsy nearby lymph nodes to determine if the cancer has spread or metastasized to other areas of the body. In this case radiation, chemotherapy or other therapies may be recommended. Colonoscopy screenings can be life saving!
How is hepatic flexure syndrome treated?
Surgery. Surgical excision is the mainstay of CRC treatment, especially when a curative outcome may be potentially achievable. The type of operation and extent of resection are dependent on multiple factors, including tumor location, size, and preoperative stage.
What happens if a polyp that is removed contains cancer?
If the excision did not get all of the polyp/cells, you may need a surgical procedure to remove all the nearby cells and tissue found around the polyp. If a polyp has cancerous cells, they will also biopsy nearby lymph nodes to determine if the cancer has spread or metastasized to other areas of the body.
How is hepatic flexure treated?
Can hepatic flexure cause pain?
Pain in IBS may be focal at the splenic flexure or the hepatic flexure, it may or may not be associated with disturbed bowel habit and there is usually localised tenderness in this area.
What is a hepatic flexure polyp?
A hepatic flexure polyp is a growth in the first bend of the colon, near the liver, according to YourSurgery.com. Polyps may have either a stalk or a flat base, and they may be benign or cancerous. Polyps occur most frequently in adults though children sometimes do develop them. Juvenile polyps rarely become cancerous.
What is the difference between hepatic flexure and right hemicolectomy?
In cases of hepatic flexure tumors, the excision is extended along the gastrocolic ligament toward the spleen. The splenic flexure and left colon can be mobilized if necessary. The omentum is resected if involved with cancer, otherwise it can be preserved. For an “extended” right hemicolectomy, most of the transverse colon is resected.
What is the hepatic flexure of the colon?
The right colic, or hepatic, flexure unites the ascending and transverse portions, and the transverse and descending parts form the left colic, or splenic, flexure. The ascending colon lies to the right of the midline ventral to the right kidney.
Is there a redundant complex turn of hepatic flexure?
This CT study shows a redundant complex turn of the hepatic flexure. The close relationship of this part of the colon with the liver and gallbladder is sometimes relevant in disease.