title: Splenic duplication: a rare cause of acute upper gastrointestinal bleeding.
abstract: Acute gastrointestinal bleeding represents a common medical emergency. We report the rare case of acute upper gastrointestinal bleeding caused by varices in the gastric fundus secondary to splenic duplication. Splenic duplication has been only rarely reported in the literature, and no case so far has described the associated complication of gastrointestinal bleeding, caused by venous drainage of the upper spleen via varices in the gastric fundus. We describe the imaging findings from endoscopy, endosonography, computed tomography (CT), flat-panel CT, and angiography in this rare condition and illustrate the effective role of intra-arterial embolization.
authors.affiliation: Department of Radiodiagnosis, Delhi State Cancer Institute, Delhi, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Sharma
authors.forename: Hatem
authors.initials: H
authors.lastname: Alkadhi
authors.forename: Christoph
authors.initials: C
authors.lastname: Gubler
authors.forename: Peter
authors.initials: P
authors.lastname: Bauerfeind
authors.forename: Thomas
authors.initials: T
authors.lastname: Pfammatter
mesh_terms: D000208:Acute Disease; D003952:Diagnostic Imaging; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000002:abnormalities*; D014648:Varicose Veins / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy