We report here the case of a 65-year-old woman who suffered intraperitoneal sclerosant
leakage after endoscopic injection sclerotherapy for bleeding gastric varices. In
total, 3 ml of N-butyl-2-cyanoacrylate and Lipiodol mixture was injected. The patient developed mild
fever and pain over the left upper quadrant and flank after the procedure. In addition
to a Lipiodol-filled gastric varix, the imaging studies disclosed a wide spread of
Lipiodol over the left peritoneal cavity. The patient was kept fasting with parenteral
antibiotics and nutrition. She responded well to the treatment, and all of the symptoms
had subsided 6 days later.
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C.-Y. Chen, M. D.
Dept. of Internal Medicine, College of Medicine, National Cheng Kung University ·
138 Sheng-Li Road · Tainan 704 · Taiwan
Fax: + 886-6-2347270
eMail: chiungyu@mail.ncku.edu.tw
