Open AccessCongenital absence of the splenic artery and splenic vein accompanied with a duodenal ulcer and deformity
Author(s) -
Eun Jung Shin,
Won Moon,
Seun Ja Park,
Moo In Park,
Kyu Jong Kim,
Jee Suk Lee,
Jin Hwan Kwon
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.1401
Subject(s) - medicine , splenic artery , splenic vein , gastroepiploic artery , right gastroepiploic artery , radiology , artery , vein , surgery , portal hypertension , cirrhosis , bypass grafting
Congenital absence of the splenic artery is a very rare condition. To the best of our knowledge, congenital absence of the splenic artery accompanied with absence of the splenic vein has not been reported. We report a case of the absence of the splenic artery and vein in a 61-year-old woman who presented with postprandial epigastric discomfort. Upper gastrointestinal endoscopy showed a dilated, pulsatile vessel in the fundus and duodenal stenosis. An abdominal computed tomography (CT) scan revealed absence of the splenic vein with a tortuously engorged gastroepiploic vein. Three-dimensional CT demonstrated the tortuously dilated left gastric artery and the left gastroepiploic artery with non-visualization of the splenic artery. After administration of a proton pump inhibitor, abdominal symptoms resolved without any recurrence of symptoms during 6 mo of follow-up.