open access

Vol 72, No 4 (2013)
CASE REPORTS
Published online: 2013-12-10
Submitted: 2013-04-25
Accepted: 2013-05-29
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Massive upper gastrointestinal bleeding from an accessory splenic artery mimicking isolated gastric varices

S. Kervancioglu, F. G. Yilmaz, M. Gulsen, P. Kervancioglu, R. Kervancioglu
DOI: 10.5603/FM.2013.0061
·
Folia Morphol 2013;72(4):366-370.

open access

Vol 72, No 4 (2013)
CASE REPORTS
Published online: 2013-12-10
Submitted: 2013-04-25
Accepted: 2013-05-29

Abstract

Knowledge of anatomical variations of coeliac trunk and its branches is important for surgeons and interventional radiologists planning surgical and radiological interventions. We describe a case of a 42-year-old male with an accessory splenic artery (ASA) originating from the left gastric artery (LGA) running in the wall of gastric fundus and mimicking isolated gastric varices, which was observed during endoscopy. Bleeding from this artery was massive and was managed with endovascular coil embolisation. Coeliac angiography of the patient with upper gastrointestinal bleeding showed that the coeliac trunk divided into 3 arteries: the LGA, the splenic artery, and the right hepatic artery. Additionally, the variations of ASA and the left hepatic artery arising from LGA, and the left and right inferior phrenic arteries arising from ASA were identified. This case is the first to be presented in the literature with ASA originating from LGA that was situated in the gastric wall where inferior phrenic arteries arose from the ASA.

Abstract

Knowledge of anatomical variations of coeliac trunk and its branches is important for surgeons and interventional radiologists planning surgical and radiological interventions. We describe a case of a 42-year-old male with an accessory splenic artery (ASA) originating from the left gastric artery (LGA) running in the wall of gastric fundus and mimicking isolated gastric varices, which was observed during endoscopy. Bleeding from this artery was massive and was managed with endovascular coil embolisation. Coeliac angiography of the patient with upper gastrointestinal bleeding showed that the coeliac trunk divided into 3 arteries: the LGA, the splenic artery, and the right hepatic artery. Additionally, the variations of ASA and the left hepatic artery arising from LGA, and the left and right inferior phrenic arteries arising from ASA were identified. This case is the first to be presented in the literature with ASA originating from LGA that was situated in the gastric wall where inferior phrenic arteries arose from the ASA.

Get Citation

Keywords

accessory splenic artery, upper gastrointestinal bleeding, coeliac trunk, variation

About this article
Title

Massive upper gastrointestinal bleeding from an accessory splenic artery mimicking isolated gastric varices

Journal

Folia Morphologica

Issue

Vol 72, No 4 (2013)

Pages

366-370

Published online

2013-12-10

DOI

10.5603/FM.2013.0061

Bibliographic record

Folia Morphol 2013;72(4):366-370.

Keywords

accessory splenic artery
upper gastrointestinal bleeding
coeliac trunk
variation

Authors

S. Kervancioglu
F. G. Yilmaz
M. Gulsen
P. Kervancioglu
R. Kervancioglu

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