Left inferior phrenic arterial malformation mimicking gastric varices: A case report and review of literature  

作　　者：Han Wang Yi-Qing Tan Ping Han An-Hui Xu Han-Lin Mu Zhe Zhu Li Ma Mei Liu Hua-Ping Xie 

机构地区：[1]Department of Gastroenterology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei Province,China [2]Department of Radiology,Tongren Hospital of Wuhan University(Wuhan Third Hospital),Wuhan University,Wuhan 430063,Hubei Province,China [3]Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei Province,China [4]Department of Pathology and Cell Biology,Columbia University Irving medical center,New York-Presbyterian Hospital,New York,NY 10065,United States [5]Department of Gastroenterology,Jianli People's Hospital,Jianli 433300,Hubei Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第9期3057-3064,共8页世界胃肠外科杂志（英文版）（电子版）

基　　金：National Natural Science Foundation of China(General Program),No.82200588;Hubei Provincial Natural Science Foundation of China,No.2024AFB829.

摘　　要：BACKGROUND Gastric submucosal arterial dilation resulting from splenic artery occlusion represents an exceedingly rare etiology of acute upper gastrointestinal bleeding(UGIB).Although endoscopy is a widely utilized diagnostic and therapeutic modality for gastrointestinal bleeding,it has limitations in detecting arterial abnormalities.CASE SUMMARY This report presents a rare case of massive UGIB in a 57-year-old male with a tortuous left inferior phrenic artery accompanied by splenic artery occlusion.“Gastric varices”was identified during the patient's endoscopy one year before hemorrhage.Despite initial hemostasis by endoscopic clipping,the patient experienced massive rebleeding after one month,requiring intervention with transcatheter arterial embolization(TAE)to achieve hemostasis.CONCLUSION This is the first case to report UGIB due to a tortuous left inferior phrenic artery.This case highlights the limitations of endoscopy in identifying arterial abnormalities and emphasizes the potential of TAE as a viable alternative for the management of arterial bleeding in the gastrointestinal tract.

关 键 词：Upper gastrointestinal bleeding Left inferior phrenic artery Splenic artery occlusion Gastrointestinal endoscopy Digital subtraction angiography Case report 

分 类 号：R735.2[医药卫生—肿瘤]