世界胃肠病学杂志（英文版）
世界胃腸病學雜誌（英文版）
세계위장병학잡지（영문판）
WORLD JOURNAL OF GASTROENTEROLOGY
2009年
11期
1401-1403
,共3页
Congenital%Anomaly%Splenic artery%Splenic vein%Duodenum%Ulcer%Deformity
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.
