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Review
. 2022 Sep;44(9):1247-1250.
doi: 10.1007/s00276-022-03009-3. Epub 2022 Sep 6.

Aberrant left gastric vein: what should surgeons know?

Sébastien Frey  1 , Pierre De Mathelin  1 , Philippe Bachellier  1 , Pietro Addeo  2   3
Affiliations
Review

Aberrant left gastric vein: what should surgeons know?

Sébastien Frey et al. Surg Radiol Anat. 2022 Sep.

Abstract

Purpose: Aberrant left gastric vein is a rare variant and hardly known by surgeons. Its misidentification may lead to accidental bleeding. More importantly, it can also be the root of hypertensive gastropathy in cirrhotic patients and tumor spread in patients with gastric cancer. Here, we describe and provide imaging data of the three patterns of aberrant left gastric veins.

Methods: Over the past 5 years, three cases were noted, each one corresponding to one of the three variants.

Results: Aberrant left gastric vein is a rare anatomical entity and has rarely been reported. Its normal anatomy and variants, embryological origins, radiological analysis, and clinical implications are all discussed, bringing light to what surgeons should know when encountering an aberrant left gastric vein.

Conclusion: Surgeons should be aware of the types of ALGV, its associated arterial variations, the presence of pseudolesion or not, and the potential atrophy of liver segment.

Keywords: Aberrant left gastric vein; Anatomical variant; Hepatic pseudolesion; Liver segment atrophy.

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References

    1. Choi TW, Chung JW, Kim HC, Choi JW, Lee M, Hur S, Jae HJ (2020) Aberrant gastric venous drainage and associated atrophy of hepatic segment II: computed tomography analysis of 2021 patients. Abdom Radiol 45:2764–2771. https://doi.org/10.1007/s00261-020-02563-x - DOI
    1. Huang CM, Wang JB, Wang Y, Zheng CH, Li P, Xie JW, Lin JX, Lu J (2014) Left gastric vein on the dorsal side of the splenic artery: a rare anatomic variant revealed during gastric surgery. Surg Radiol Anat 36:173–180. https://doi.org/10.1007/s00276-013-1154-9 - DOI - PubMed
    1. Ishigami K, Sun S, Berst MJ, Heery SD, Fajardo LL (2004) Portal vein occlusion with aberrant left gastric vein functioning as a hepatopetal collateral pathway. J Vasc Interv Radiol 15:501–504. https://doi.org/10.1097/01.RVI.0000126810.67111.CA - DOI - PubMed
    1. Lee H, Lee J (2019) Anatomic variations in the left gastric vein and their significance during laparoscopic gastrectomy. Surg Endosc 33:1903–1909. https://doi.org/10.1007/s00464-018-6470-z - DOI - PubMed
    1. Mittal K, Anandpara K, Dey AK, Kedar P, Hira P, Kale S (2015) Left aberrant gastric vein causing isolated left hepatic portal venous gas secondary to an incarcerated diaphragmatic hernia. Pol J Radiol 21(80):364–367. https://doi.org/10.12659/PJR.894103 - DOI

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