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脾重复畸形:胃静脉曲张的罕见病因——病例报告

Splenic Duplication, a Rare Cause of Gastric Varices: A Case Report.

作者信息

Kim Seul Ki, Lee Tae Young

出版信息

J Korean Soc Radiol. 2025 Mar;86(2):298-303. doi: 10.3348/jksr.2024.0077. Epub 2025 Jan 16.

DOI:10.3348/jksr.2024.0077
PMID:40201614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11973118/
Abstract

Splenic duplication, also known as polysplenia syndrome, is a condition occasionally observed in which the spleen is divided into segments of similar size. However, gastric fundic varices arising from a duplicated spleen are exceedingly rare, and this medical anomaly has been infrequently reported in the literature. This case report presents a 40-year-old male with a rare instance of gastric fundic varices secondary to splenic duplication. Comprehensive imaging studies, including endoscopy, CT, Doppler US, and radioisotope splenic scans, were performed to confirm the diagnosis. This case contributes to valuable information in the medical literature, shedding light on a seldom-discussed condition.

摘要

脾重复畸形,也称为多脾综合征,是一种偶尔观察到的情况,即脾脏被分成大小相似的节段。然而,由重复脾引起的胃底静脉曲张极为罕见,且这一医学异常在文献中鲜有报道。本病例报告介绍了一名40岁男性,患有因脾重复畸形继发的罕见胃底静脉曲张病例。进行了包括内镜检查、CT、多普勒超声和放射性核素脾扫描在内的全面影像学检查以确诊。本病例为医学文献提供了有价值的信息,揭示了一种很少被讨论的病症。

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本文引用的文献

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Porto-Sinusoidal Vascular Disease: A Concise Updated Summary of Epidemiology, Pathophysiology, Imaging, Clinical Features, and Treatments.门静脉窦状血管疾病:流行病学、病理生理学、影像学、临床特征及治疗的简明最新综述
Korean J Radiol. 2023 Jan;24(1):31-38. doi: 10.3348/kjr.2022.0668.
2
Minimally invasive accessory splenectomy for recurrent gastric variceal bleeding due to left-sided portal hypertension: report of the first case.微创副脾切除术治疗左侧门静脉高压所致复发性胃静脉曲张出血:首例报告
J Surg Case Rep. 2021 Feb 11;2021(2):rjab008. doi: 10.1093/jscr/rjab008. eCollection 2021 Feb.
3
Duplication of the spleen accompanied by multiple anomalies of the thorax and abdomen: a rare case.
脾脏重复畸形伴胸腹部多发畸形 1 例罕见报告
Folia Morphol (Warsz). 2020;79(4):867-870. doi: 10.5603/FM.a2020.0002. Epub 2020 Jan 13.
4
Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO.当前治疗胃静脉曲张的方法:胶、线圈应用、TIPS 和 BRTO。
Medicina (Kaunas). 2019 Jul 3;55(7):335. doi: 10.3390/medicina55070335.
5
Gamna-Gandy bodies of the spleen in sickle cell disease.镰状细胞病患者脾脏的含铁小结
Autops Case Rep. 2019 Mar 22;9(2):e2018076. doi: 10.4322/acr.2018.076. eCollection 2019 Apr-Jun.
6
Splenosis involving the gastric fundus, a rare cause of massive upper gastrointestinal bleeding: a case report and review of the literature.脾组织异位累及胃底:大量上消化道出血的罕见原因——病例报告及文献复习
Clin Exp Gastroenterol. 2016 Sep 22;9:301-305. doi: 10.2147/CEG.S91835. eCollection 2016.
7
Altered Doppler flow patterns in cirrhosis patients: an overview.肝硬化患者的多普勒血流模式改变:概述。
Ultrasonography. 2016 Jan;35(1):3-12. doi: 10.14366/usg.15020. Epub 2015 May 27.
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