Gastric Bleeding Arisen in a Patient with Situs Inversus Totalis and Large Accessory Spleen.
10.4174/jkss.2010.78.4.258
- Author:
Jong Riul LEE
1
;
Mi Sung KIM
;
Dae Jung KIM
;
Sun Jung CHOI
Author Information
1. Department of Surgery, Cheongju St. Mary's Hospital, Cheongju, Korea. gsurgeonl@naver.com
- Publication Type:Case Report
- Keywords:
Dieulafoy gastric bleeding;
Situs inversus totalis;
Large accessory spleen
- MeSH:
Abnormalities, Multiple;
Adult;
Congenital, Hereditary, and Neonatal Diseases and Abnormalities;
Hemorrhage;
Humans;
Incidence;
Ligation;
Live Birth;
Male;
Situs Inversus;
Spleen;
Stomach;
Sutures
- From:Journal of the Korean Surgical Society
2010;78(4):258-261
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Situs inversus totalis is a rare congenital disorder, which is total transposition of thoracic and abdominal organs. Its incidence is 1 in 10,000~50,000 live births. This might be associated with multiple abnormalities such as accessory spleen, asplenia, intestinal malrotation and so on. For this reason, in cases of operation in patients with situs inversus totalis, we need to scrutinize the presence of accompanied anomalies. Moreover, if Dieulafoy gastric bleeding has occurred, vascular anomalies can be accompanied. This 31-year-old male patient with situs inverses totalis was admitted to our hospital for management of UGI (upper gastrointestinal) bleeding. Gastroendoscopy revealed Dieulafoy disease in the upper body of the stomach as the cause of UGI bleeding. Several attempts with endovascular embolization and hemoclips were applied but failed. We performed a suture & ligation of the Dieulafoy lesion as well as total resection of accessory spleen with devascularization of prominently developed vessels around the upper stomach. We report this case with a review of the literature.
