A case of splenic artery aplasia accompanying Dieulafoy's ulcer

Toshio Uraoka, Jun Tomoda, Tamiya Morikawa, Yuko Asatani, Hirosuke Yamaji, Tomoko Yamano, Takashi Nakamura, Tatsuro Sakata, Kuniyuki Egusa, Norinao Takakura, Hidenori Shiraha

Research output: Contribution to journalArticle

Abstract

A 32-year-old man presented with hematoemesis and melena. He had suffered from hematoemesis in 1992 and 1993, but the cause remained unknown. Upper gastrointestinal endoscopy revealed bleeding in the fundus of stomach close to the posterior wall of the greater curvature, suggesting the Dieulafoy's ulcer. Local injection of ethanol and clipping achieved hematostasis. As his prior history of bleeding suggested the presence of a vascular anormaly, he underwent abdominal angiography. The angiogram revealed narrowing of the splenic artery at its origin from the celiac artery, many expanding and serpiginous branches from the left gastric artery, and an aneurysm in the fundus of the stomach. To avoid rebleeding, he underwent fundusectomy and splenectomy. In this patient, Dieulafoy's ulcer was probably caused by collateral vessels that developed due to splenic artery aplasia. Young patients with a history of bleeding of unknown etiology must be checked for vascular anormaly.

Original languageEnglish
Pages (from-to)64-69
Number of pages6
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume40
Issue number1
Publication statusPublished - Jan 1 1998

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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    Uraoka, T., Tomoda, J., Morikawa, T., Asatani, Y., Yamaji, H., Yamano, T., Nakamura, T., Sakata, T., Egusa, K., Takakura, N., & Shiraha, H. (1998). A case of splenic artery aplasia accompanying Dieulafoy's ulcer. GASTROENTEROLOGICAL ENDOSCOPY, 40(1), 64-69.