Distal Embolization and Local Vessel Wall Ulceration after Gastric Variceal Obliteration with N-Butyl-2-Cyanoacrylate: a Case Report and Review of the Literature

K. Kok; R. P. Bond; I. C. Duncan; P. A. Fourie; C. Ziady; J. B. van den Bogaerde; S. W. van der Merwe

doi:10.1055/s-2004-814323

Endoscopy 2004; 36(5): 442-446
DOI: 10.1055/s-2004-814323

Case Report

Distal Embolization and Local Vessel Wall Ulceration after Gastric Variceal Obliteration with N-Butyl-2-Cyanoacrylate: a Case Report and Review of the Literature

K. Kok¹ , R. P. Bond^1, ³ , I. C. Duncan² , P. A. Fourie² , C. Ziady¹ , J. B. van den Bogaerde¹ , S. W. van der Merwe^1, ³

¹Dept. of Gastroenterology, Unitas Hospital, Netcare, Pretoria, South Africa
²Interventional Radiology Unit, Unitas Hospital, Netcare, Pretoria, South Africa
³Dept. of Internal Medicine and Gastroenterology, University of Pretoria, South Africa

Abstract

Repeated endoscopic injections of N-butyl-2-cyanoacrylate mixtures into large gastric varices in a single patient led to two complications: initially, pulmonary embolism, and later local ulceration of the wall of a varix. The latter resulted in massive uncontrollable hemorrhage that ultimately led to a fatal outcome. This case report also analyzes complications reported in the literature during similar endoscopic procedures for gastric varices.

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References

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S. W. Van der Merwe, M.D.

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