Acquired Gastric Dieulafoy-Like Lesion due to Aberrant Blood Supply Diverted From the Left Phrenic Artery to an Enlarged Splenule.

Autor: Lew B; Kaiser Fontana Medical Center, Fontana, CA.; Kaiser Riverside Medical Center, Riverside, CA., Der DE; Kaiser Los Angeles Medical Center, Los Angeles, CA., Lim BS; Kaiser Riverside Medical Center, Riverside, CA.; University of California Riverside School of Medicine, Riverside, CA.; United Gastroenterologists, Irvine, CA.
Jazyk: angličtina
Zdroj: ACG case reports journal [ACG Case Rep J] 2023 Apr 14; Vol. 10 (4), pp. e01032. Date of Electronic Publication: 2023 Apr 14 (Print Publication: 2023).
DOI: 10.14309/crj.0000000000001032
Abstrakt: Dieulafoy lesion is an aberrant submucosal vessel that can erode into the overlying tissue leading to hemorrhage. It is a rare but important cause of gastrointestinal bleeding. We present a case of a patient who developed an acquired Dieulafoy lesion 39 years after splenectomy. Abdominal computed tomography showed an aberrant vessel from a branch of the left phrenic artery, coursing through the gastric fundus to supply a splenule. Angiography with embolization of the aberrant vessel resulted in no further bleeding.
(© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze: MEDLINE