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 

作者机构：Department of GastroenterologyTongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030Hubei ProvinceChina Department of RadiologyTongren Hospital of Wuhan University(Wuhan Third Hospital)Wuhan UniversityWuhan 430063Hubei ProvinceChina Department of RadiologyTongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030Hubei ProvinceChina Department of Pathology and Cell BiologyColumbia University Irving medical centerNew York-Presbyterian HospitalNew YorkNY 10065United States Department of GastroenterologyJianli People's HospitalJianli 433300Hubei ProvinceChina 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2024年第16卷第9期

页      面：3057-3064页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

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

主　　题：Upper gastrointestinal bleeding Left inferior phrenic artery Splenic artery occlusion Gastrointestinal endoscopy Digital subtraction angiography Case report 

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 *** 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 variceswas identified during the patient s endoscopy one year before *** initial hemostasis by endoscopic clipping,the patient experienced massive rebleeding after one month,requiring intervention with transcatheter arterial embolization(TAE)to achieve *** This is the first case to report UGIB due to a tortuous left inferior phrenic *** 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.