Presentation
Smoker, dyslipidemia and peripheral arterial disease. Complains of lower limbs pain while walking and cooling of the lower extremities.
Patient Data
CT Angiogram (selected images)
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Diffuse atheromatous disease with thrombosis of the proximal splenic artery with collateral circulation (coming from ascending branch of left colic artery / inferior mesenteric artery and short gastric arteries / left gastric artery) supplying its distal branches.
The filling of the distal splenic artery is done by collateral circulation coming from ascending branch of left colic artery / inferior mesenteric artery and short gastric arteries / left gastric artery.
Case Discussion
Splenic artery occlusion normally presents with symptoms of splenic infarction. But in the gradual obstruction of arterial disease, a slow adaptation enables the collateral arterial branches to overcome the flow.
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