Shin EK, Moon W, Park SJ, Park MI, Kim KJ, Lee JS, Kwon JH. Congenital absence of the splenic artery and splenic vein accompanied with a duodenal ulcer and deformity. World J Gastroenterol 2009; 15(11): 1401-1403 [PMID: 19294774 DOI: 10.3748/wjg.15.1401]
Corresponding Author of This Article
Won Moon, MD, Department of Gastroenterology, Kosin University College of Medicine, 34 Amnam-dong, Seo-gu, Busan, South Korea 602-702, South Korea. moonone70@yahoo.co.kr
Article-Type of This Article
Case Report
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World J Gastroenterol. Mar 21, 2009; 15(11): 1401-1403 Published online Mar 21, 2009. doi: 10.3748/wjg.15.1401
Congenital absence of the splenic artery and splenic vein accompanied with a duodenal ulcer and deformity
Eun Kyung Shin, Won Moon, Seun Ja Park, Moo In Park, Kyu Jong Kim, Jee Suk Lee, Jin Hwan Kwon
Eun Kyung Shin, Won Moon, Seun Ja Park, Moo In Park, Kyu Jong Kim, Jee Suk Lee, Department of Gastroenterology, Kosin University College of Medicine, Busan, South Korea
Jin Hwan Kwon, Department of Radiology, Kosin University College of Medicine, Busan, South Korea
Author contributions: Shin EK and Moon W contributed equally to this work; Moon W carried out the design of the study; Shin EK wrote the paper; Lee JS was involved in the care of the patient; Kim KJ participated in acquisition of data; Park MI, Park SJ coordinated the study; Kwon JH performed the radiological reviews.
Correspondence to: Won Moon, MD, Department of Gastroenterology, Kosin University College of Medicine, 34 Amnam-dong, Seo-gu, Busan, South Korea 602-702, South Korea. moonone70@yahoo.co.kr
Telephone: +82-51-9905061
Fax: +82-51-9905055
Received: December 12, 2008 Revised: February 2, 2009 Accepted: February 9, 2009 Published online: March 21, 2009
Abstract
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.
