Jornal Vascular Brasileiro
https://www.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

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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

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Submitted date:
12/02/2021

Accepted date:
02/21/2022

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