Splenic Artery Embolization for the Treatment of Gastric Variceal Bleeding Secondary to Splenic Vein Thrombosis Complicated by Necrotizing Pancreatitis: Report of a Case

Figure 6

(a) After the Warshaw operation, spleen is supplied by short gastric arteries and left gastroepiploic artery and drained by short gastric veins and left gastroepiploic vein. No gastric variceal bleeding was observed after the operation over 20 years of observation period. (b) After splenic artery embolization, pressure within short gastric veins is decreased. The blood flow of spleen is maintained similar to postoperative circumstance of the Warshaw operation. PV, portal vein; SMV, superior mesenteric vein; CV, coronary vein; IMV, inferior mesenteric vein; SA, splenic artery; SV, splenic vein; LGEA, left gastroepiploic artery; LGEV, left gastroepiploic vein; SGA, short gastric artery; SGV, short gastric vein; GVB, gastric variceal bleeding.

(a)

(b)