Phrenicocolic ligament

Changed by Roland Warner, 24 Jun 2019

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The phrenicocolic ligament, is also known as Hensing's ligament, is a peritoneal ligament extending from the splenic flexure of the colon to the diaphragm. It also provides important ligamentous support to the spleen 15.

Gross anatomy

The phrenicocolic ligament separates the left paracolic gutter andfrom the left subphrenicsupramesocolic space. It is continuous with the peritoneum of the left lateral aspect of the transverse mesocolon, and the splenorenal ligament adjacent the splenic hilum 1.

Attachments

The ligament extends inferiorly and laterally from It attaches to the parietal peritoneum along the posterolateral aspect of the diaphragm at the level of the eleventh rib to the splenic flexure of the transverse colon 1.

Related pathologyFunction

ItThe phrenicocolic ligament functions as a potential barrier to the spread of infection between the left paracolic gutter and the left subphrenic space 2. It provides support to the spleen at the posterior aspect of its tip 5.

Radiographic features

Plain radiograph

In normal patients, it may be seen as a thin falciform like soft tissue density outlined by extraperitoneal fat 5. It may be outlined by gas in pneumoperitoneum.

  • -<p>The <strong>phrenicocolic ligament</strong> is a <a href="/articles/peritoneal-ligaments">peritoneal ligament</a> extending from the splenic flexure to the diaphragm. It also provides important ligamentous support to the spleen<sup> 1</sup>.</p><h4>Gross anatomy</h4><p>The phrenicocolic ligament separates the left paracolic gutter and the left subphrenic space. It is continuous with the peritoneum of the left lateral aspect of the transverse mesocolon, and the <a href="/articles/splenorenal-ligament">splenorenal ligament</a> adjacent the splenic hilum <sup>1</sup>.</p><h5>Attachments</h5><p>The ligament extends inferiorly and laterally from the diaphragm at the level of the eleventh rib to the splenic flexure of the transverse colon<sup> 1</sup>.</p><h4>Related pathology</h4><p>It functions as a potential barrier to spread of infection between the left paracolic gutter and the left subphrenic space<sup> 2</sup>.</p>
  • +<p>The <strong>phrenicocolic ligament,</strong> also known as <strong>Hensing's ligament</strong>, is a <a href="/articles/peritoneal-ligaments">peritoneal ligament</a> extending from the splenic flexure of the colon to the diaphragm <sup>5</sup>.</p><h4>Gross anatomy</h4><p>The phrenicocolic ligament separates the left paracolic gutter from the left supramesocolic space. It is continuous with the peritoneum of the left lateral aspect of the transverse mesocolon and the <a href="/articles/splenorenal-ligament">splenorenal ligament</a> adjacent the splenic hilum <sup>1</sup>. It attaches to the parietal peritoneum along the posterolateral aspect of the diaphragm at the level of the eleventh rib.</p><h4>Function</h4><p>The phrenicocolic ligament functions as a potential barrier to the spread of infection between the left paracolic gutter and the left subphrenic space<sup> 2</sup>. It provides support to the spleen at the posterior aspect of its tip <sup>5</sup>.</p><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>In normal patients, it may be seen as a thin falciform like soft tissue density outlined by extraperitoneal fat <sup>5</sup>. It may be outlined by gas in pneumoperitoneum.</p>

References changed:

  • 4. Temel Tirkes, Kumaresan Sandrasegaran, Aashish A. Patel, Margaret A. Hollar, Juan G. Tejada, Mark Tann, Fatih M. Akisik, John C. Lappas. Peritoneal and Retroperitoneal Anatomy and Its Relevance for Cross-Sectional Imaging. (2012) RadioGraphics. 32 (2): 437-51. <a href="https://doi.org/10.1148/rg.322115032">doi:10.1148/rg.322115032</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/22411941">Pubmed</a> <span class="ref_v4"></span>
  • 5. Morton A. Meyers. Roentgen Significance of the Phrenicocolic Ligament1. (1970) Radiology. 95 (3): 539-45. <a href="https://doi.org/10.1148/95.3.539">doi:10.1148/95.3.539</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/5442657">Pubmed</a> <span class="ref_v4"></span>
  • Temel Tirkes, Kumaresan Sandrasegaran, Aashish A. Patel, Margaret A. Hollar, Juan 4. G. Tejada, Mark Tann, Fatih M. Akisik, John C. Lappas. Peritoneal and Retroperitoneal Anatomy and Its Relevance for Cross-Sectional Imaging. (2012) RadioGraphics. 32 (2): 437-51. <a href="https://doi.org/10.1148/rg.322115032">doi:10.1148/rg.322115032</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/22411941">Pubmed</a> <span class="ref_v4"></span>

Sections changed:

  • Anatomy

Systems changed:

  • Gastrointestinal

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