The Image Library
Click on the picture to get a magnification
Hepatic flexure with the liver visible through the colonic wall
High resolution image: Hepatic flexure
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. The blue dark field in this picture is the liver seen through the colonic wall.
A deep breath of the patient at this point usually brings the tip of the colonoscope into the ascending part of the colon.
April 7, 2007