An adrenal gland abscess after N-butyl-2-cyanoacrylate (Histoacryl(R)) injection therapy for gastric varices bleeding.
- Author:
Chang Jin YEA
1
;
Soon Koo BAIK
;
Moon Young KIM
;
Ki Tae SUK
;
Il Young LEE
;
Eun Mi KIM
Author Information
1. Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. baiksk@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Adrenal gland abscess;
Gastric varices bleeding;
N-butyl-2-cyanoacrylate;
Sclerotherapy;
Complication
- MeSH:
Abscess;
Adrenal Glands;
Adrenalectomy;
Adult;
Constriction, Pathologic;
Embolism;
Enbucrilate;
Esophageal and Gastric Varices;
Ethiodized Oil;
Fever;
Flank Pain;
Hemorrhage;
Hemostasis;
Humans;
Liver Cirrhosis;
Male;
Sclerotherapy
- From:Korean Journal of Medicine
2009;76(6):732-736
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
N-butyl-2-cyanoacrylate (Histoacryl(R)) is used to obtain hemostasis in gastric variceal bleeding. Known complications of Histoacryl(R) injection therapy include bleeding, perforation, stenosis, and embolism. We report a case of adrenal abscess as a very rare complication of Histoacryl(R) injection. A 40-year-old male with liver cirrhosis was admitted with acute gastric variceal bleeding. Sclerotherapy using Histoacryl(R) mixed with lipiodol (3 mL) was successful. Twenty-seven months later, he was readmitted complaining of left flank pain and a fever of 39degreesC. Abdominal computed tomography (CT) showed a heterogeneous enhancing solid and cystic mass (6.1x3.0 cm) at the left adrenal gland. A left adrenalectomy was performed and the pathological examination confirmed a Histoacryl(R)-related adrenal abscess. We present this case along with a brief review of the literature
