Case Report
Copyright ©The Author(s) 2022.
World J Gastroenterol. Oct 7, 2022; 28(37): 5506-5514
Published online Oct 7, 2022. doi: 10.3748/wjg.v28.i37.5506
Table 1 Summary of case reports reporting acute upper gastrointestinal bleeding from gastric submucosal arterial collaterals secondary to occlusion or congenital absence of the splenic artery
Case
Ref.
Age/sex
Presentation
SAO etiology
Diagnosis
Treatment
Major AEs
Outcome
Follow-up (months)
1Spriggs[17], 198431/MHematemesisSA congenital absenceAngiographySplenectomy + partial gastrectomy (due to rebleeding)Severe respiratory distressAlive–no rebleeding-
2Durrans et al[18], 198513/MHematemesisSA congenital absenceAngiographyLGA ligation + splenectomyNoneAlive–no rebleeding-
3Baron et al[19], 200036/MHematemesisBlunt abdominal traumaAngiographySplenectomy + partial gastric devascularizationNoneAlive–no rebleeding18
4Worthley et al[20], 200368/FMelenaIatrogenic(SA aneurysmectomy)AngiographySplenectomy + ligation of SV and SA with LGA and SGA NoneAlive–no rebleeding-
5Cyrany et al[21], 200459/MHematemesis and melenaSATCTA + angiographyECGI Splenic infarctionAlive–no rebleeding9
6Mnatzakanian et al[23], 200866/MMelena-CTA + angiographyTAE (coils and pledgets)NoneAlive–no rebleeding-
7von Trotha et al[26], 201169/M-SATCTA + angiography + EUSECGI + endoscopic clipping + splenectomy and SGA collaterals dissectionSplenic infarctionAlive–no rebleeding6
8Saddekni et al[24], 201223/FHematemesis and melenaIatrogenic (SA ligation)CTA + angiographyTAE (coils)NoneAlive–no rebleeding8
9Arslan et al[27], 2017 52/MHematemesisSATCTA--Death-
10Al-Balas et al[25], 202149/MHematemesisSATCTA + angiographyTAE (coils) + splenectomy and bleeding gastric vessel ligation (due to rebleeding)NoneAlive–no rebleeding18
11Our case60/MHematemesis and melenaSATCTA + angiographyEndoscopic clipping + TAE (microspheres) Splenic infarctionAlive–no rebleeding12