A Case of Splenic Infarction after Histoacryl(R) Injection in Gastric Varix Bleeding.
- Author:
Sul Hye KIM
1
;
In Seok LEE
;
Heiy Young YOU
;
Hyun Min CHA
;
Ho Jin SONG
;
Sang Woo KIM
;
Young Sang YANG
;
Myung Gyu CHOI
;
In Sik CHUNG
;
Doo Ho PARK
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. lisdrim@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Splenic infarction;
Histoacryl(R);
Gastric varix bleeding
- MeSH:
Abdominal Pain;
Constriction, Pathologic;
Embolism;
Esophageal and Gastric Varices*;
Ethiodized Oil;
Fever;
Hemorrhage*;
Humans;
Infarction;
Liver Cirrhosis;
Male;
Middle Aged;
Sclerotherapy;
Spleen;
Splenic Infarction*;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(6):494-498
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Histoacryl(R) (n-butyl-2-cyanoacrylate) has been used successfully for the treatment of gastric variceal bleeding. The reported complications of Histoacryl(R) injection therapy include bleeding, perforation, stenosis and embolism. Here we describe a case of splenic infarction as an unusual complication of Histoacryl(R) injection. A 51-year-old male patient with liver cirrhosis was admitted due to acute gastric varix bleeding. Sclerotherapy was successfully carried out using Histoacryl(R) mixed with lipiodol (2.6 mL). 4 days later, he complained left upper quadrant pain and developed a fever of 38.2degrees C. Abdominal CT showed wedge-shaped hypodense area in the spleen compatible with infarction. He was treated conservatively. The fever and abdominal pain gradually subsided and he was discharged without significant problems.
