Gastric arterial bleeding secondary to chronic occlusion of the splenic artery (with video).

Cyrany J, Kopáčová M, Rejchrt S, Krajina A, Bureš J. Gastric arterial bleeding secondary to chronic occlusion of the splenic artery. Folia Gastroenterol Hepatol 2004; 2 (2): 92 98. Abstract. The authors present exceptional case of life threatening bleeding from fundic arterial collaterals in the patient with atherosclerotic chronic occlusion of the splenic artery. Haemostasis was achieved by endoscopic injection of n-butyl-2-cyanoacrylate, which was documented by angiography. The course was complicated by splenic embolism. Recurrence of bleeding was not observed during a nine-month follow-up period. That was why no splenectomy was performed until now. The case report illustrates that arteries supplying the spleen in case of splenic artery occlusion can be a source of severe bleeding. These collaterals can be interrupted endoscopically with the risk of arterial embolism in the coeliac trunk region.