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

100%

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

Folia Morphologica

2013

tom 72

nr 4

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

The clinical relevance of coeliac trunk variations

75%

Gielecki J., Zurada A., Sonpal N., Jablonska B.

Folia Morphologica

2005

tom 64

nr 3

123-129

The coeliac trunk is a surgically significant artery originating from the abdominal aorta and supplying the supracolic organs. Branches of this arterial trunk supply the primary organs of the abdomen and divert a significant volume of blood from the abdominal aorta. Past research has shown that the anatomy of the coeliac trunk is not identical for all human beings and that about 15% of the population displays significant variations from the typical branching pattern. Data derived from earlier research has been consolidated to give an account of the major variations found in the anatomy of the coeliac trunk and to put forward some theories for the cause of such variation. It is crucial to achieve full comprehension of these topics as knowledge of these variations is indispensable in operative and diagnostic procedures within the abdomen. Without understanding of the arterial architecture and knowledge of the variation characterising the patient in this critical region surgery may entail a considerable risk of an error being committed that may occasionally lead to lethal complications.

The middle colic artery originating from the coeliac trunk

75%

Yildilrim M., Celik H. H., Yildiz Z., Tatar I., Aldur M. M.

Folia Morphologica

2004

tom 63

nr 3

A case is reported of an anomalous origin of the middle colic artery. The middle colic artery originated from the coeliac trunk (CT) instead of the superior mesenteric artery, the normal place of origin. The colon receives its blood supply from the superior and inferior mesenteric arteries. Since modern colon surgery requires a more detailed anatomy of blood supply, many articles have been published on the anatomy and variations of the arteries of the colon. However, the incidence of such an anomaly is low and there have been few previous reports. These arterial variations underscore the importance of performing vascular studies prior to major abdominal surgery.

Ograniczanie wyników

3 Folia Morphologica

1 Aldur M. M.

1 Celik H. H.

1 Gielecki J.

1 Gulsen M.

1 Jablonska B.

1 Kervancioglu P.

1 Kervancioglu R.

1 Kervancioglu S.

1 Sonpal N.

1 Tatar I.

1 Yildilrim M.

1 Yildiz Z.

1 Yilmaz F. G.

1 Zurada A.

1 2013

1 2005

1 2004

Wyniki wyszukiwania

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

The clinical relevance of coeliac trunk variations

The middle colic artery originating from the coeliac trunk