title: Congenital absence of the splenic artery and splenic vein accompanied with a duodenal ulcer and deformity.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Kosin University College of Medicine, Busan, South Korea.
authors.forename: Eun Kyung
authors.initials: EK
authors.lastname: Shin
authors.forename: Won
authors.initials: W
authors.lastname: Moon
authors.forename: Seun Ja
authors.initials: SJ
authors.lastname: Park
authors.forename: Moo In
authors.initials: MI
authors.lastname: Park
authors.forename: Kyu Jong
authors.initials: KJ
authors.lastname: Kim
authors.forename: Jee Suk
authors.initials: JS
authors.lastname: Lee
authors.forename: Jin Hwan
authors.initials: JH
authors.lastname: Kwon
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D004386:Duodenum / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D064750:Rabeprazole; D013157:Splenic Artery / Q000002:abnormalities*; D013162:Splenic Vein / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D000897:Anti-Ulcer Agents; D064750:Rabeprazole