Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.20210178
Jornal Vascular Brasileiro
Case Report

The left gastro-omental vessels are able to maintain the entire spleen blood supply

Os vasos gastromentais esquerdos são capazes de manter o suprimento sanguíneo de todo o baço

Andy Petroianu

Downloads: 0
Views: 1047

Abstract

Abstract: The spleen is supplied by blood flow through the splenic artery and vein. The purpose of this communication is to report an ectopic spleen supplied only by reverse flow through the left gastro-omental vessels. A 14-year-old boy presented with pelvic splenomegaly supplied only by the left gastro-omental artery and veins connected to the inferior polar vessels, which were the only vessels communicating with the spleen. After detorsion of the spleen and splenopexy, the spleen returned to normal dimensions. The patient had uneventful follow-up. In conclusion, the left gastroepiploic vessels are able to maintain the entire spleen blood supply.

Keywords

wandering spleen, splenomegaly, gastro-omental vessels, inferior polar vessels, blood supply

Resumo

Resumo: O baço é suprido pelo fluxo sanguíneo da artéria e veia esplênicas. O objetivo desta comunicação é apresentar um baço ectópico suprido apenas pelo fluxo sanguíneo reverso proveniente dos vasos gastromentais esquerdos. Um paciente de 14 anos apresentou esplenomegalia pélvica suprida apenas por artéria e veia gastromentais esquerdas, conectadas aos vasos polares inferiores, que eram os únicos presentes nesse baço. Após a distorção do baço e a esplenopexia, o baço voltou às dimensões normais. Não houve intercorrências no acompanhamento do paciente. Em conclusão, os vasos gastromentais esquerdos são capazes de suprir o fluxo sanguíneo de todo o baço.
 

Palavras-chave

baço ectópico, esplenomegalia, vasos gastromentais, vasos polares inferiores, suprimento sanguíneo

References

1 Petroianu A. The spleen. London: Bentham Editors; 2011.

2 Petroianu A. Spleen. In: Standring S, editor. Gray’s anatomy. 41st ed. London: Elsevier Editors; 2016. p. 1188-93.

3 Ndoye JM, Savadogo J, Ndiaye A, et al. L’artère gastro-omentale gauche. Morphologie. 2008;92(296):11-5. http://dx.doi.org/10.1016/j.morpho.2008.02.004. PMid:18439865.

4 Tomioka K, Murakami M, Saito A, et al. Morphometric and quantitative evaluation of the gastroepiploic artery. Okajimas Folia Anat Jpn. 2015;92(2):33-5. http://dx.doi.org/10.2535/ofaj.92.33. PMid:26639563.

5 Reisner DC, Burgan CM. Wandering spleen. Curr Probl Diagn Radiol. 2018;47(1):68-70. http://dx.doi.org/10.1067/j.cpradiol.2017.02.007. PMid:28385371.

6 Barabino M, Luigiano C, Pellicano R, et al. Wandering spleen as a rare cause of recurrent abdominal pain. Minerva Chir. 2019;74(4):359-63. http://dx.doi.org/10.23736/S0026-4733.18.07841-0. PMid:30019879.

7 Cohen O, Baazov A, Samuk I, Schwarz M, Kravarusic D, Freud E. Emergencies in the treatment of wandering spleen. Isr Med Assoc J. 2018;20(6):354-7. PMid:29911755.

8 Petroianu A, Sabino KR. Wandering splenomegaly reduction after splenopexy. Int J Surg Case Rep. 2021;85:106273. http://dx.doi.org/10.1016/j.ijscr.2021.106273. PMid:34388905.

9 Petroianu A, Petroianu S. Anatomy of splenogastric vessels in patients with schistosomal portal hypertension. Clin Anat. 1994;7(2):80-3. http://dx.doi.org/10.1002/ca.980070205.

10 Petroianu A. Treatment of portal hypertension by subtotal splenectomy and central splenorenal shunt. Postgrad Med J. 1988;64(747):38-41. http://dx.doi.org/10.1136/pgmj.64.747.38. PMid:3420056.

11 Petroianu A. Subtotal splenectomy in Gaucher’s disease. Eur J Surg. 1996;162(6):511-3. PMid:8817231.

12 Petroianu A. Subtotal splenectomy for treatment of patients with myelofibrosis and myeloid metaplasia. Int Surg. 1996;81(2):177-9. PMid:8912088.

13 Resende V, Petroianu A. Subtotal splenectomy for treatment of severe splenic injuries. J Trauma. 1998;44(5):933-5. http://dx.doi.org/10.1097/00005373-199805000-00037. PMid:9603106.

14 Petroianu A. Subtotal splenectomy for treatment of retarted growth and sexual development associated with splenomegaly. Minerva Chir. 2003;58(3):413-4. PMid:12955067.

15 Petroianu A, Cabezas-Andrade MA, Berindoague R No. Laparoscopic subtotal splenectomy. Surg Laparosc Endosc Percutan Tech. 2008;18(1):94-7. http://dx.doi.org/10.1097/SLE.0b013e31815a889a. PMid:18287996.

16 Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg. 1988;123(5):550-3. http://dx.doi.org/10.1001/archsurg.1988.01400290032004. PMid:3358679.

17 Lee SY, Goh BK, Tan YM, et al. Spleen-preserving distal pancreatectomy. Singapore Med J. 2008;49(11):883-5. PMid:19037554.

18 Ishikawa Y, Ehara K, Yamada T, et al. Three-dimensional computed tomography analysis of the vascular anatomy of the splenic hilum for gastric cancer surgery. Surg Today. 2018;48(9):841-7. http://dx.doi.org/10.1007/s00595-018-1679-y. PMid:29858668.

19 Xu ZJ, Zheng LQ, Pan XN. Partial embolization as re-treatment of hypersplenism after unsuccessful splenic artery ligation. World J Gastroenterol. 2015;21(4):1365-70. http://dx.doi.org/10.3748/wjg.v21.i4.1365. PMid:25632215.

20 Covantev S, Mazuruc N, Drangoi I, Belic O. Unusual development of the celiac trunk and its clinical significance. J Vasc Bras. 2021;20:e20200032. http://dx.doi.org/10.1590/1677-5449.200032. PMid:34093673.

21 Petroianu A. Subtotal splenectomy preserving the inferior splenic pole for the treatment of Hodgkin’s lymphoma. Int J Surg Case Rep. 2017;36:1-3. http://dx.doi.org/10.1016/j.ijscr.2017.04.015. PMid:28486174.
 


Submitted date:
12/02/2021

Accepted date:
02/21/2022

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
62693a3fa953954f713f77d4 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections