Anticoagulation in the treatment of portovenous emboli after cyanoacrylate injection for a bleeding gastric varix.
- Author:
Charlene Xian Wen KWA
1
;
Veronique Kiak Mien TAN
;
Hock Soo ONG
Author Information
1. Department of Anaesthesiology, Academia Level 5, Singapore General Hospital, Outram Road, Singapore 169608. Charlene.kwa@mohh.com.sg.
- Publication Type:Case Reports
- MeSH:
Aged;
Anticoagulants;
chemistry;
therapeutic use;
Blood Pressure;
Cyanoacrylates;
chemistry;
Embolism;
chemically induced;
diagnostic imaging;
therapy;
Esophageal and Gastric Varices;
drug therapy;
Humans;
Injections;
Male;
Portal Vein;
pathology;
Sclerotherapy;
Splenic Vein;
pathology;
Tomography, X-Ray Computed;
Ultrasonography, Doppler
- From:Singapore medical journal
2015;56(1):e14-6
- CountrySingapore
- Language:English
-
Abstract:
We herein report the use of endoscopic n-butyl-2-cyanoacrylate injections to obliterate a gastric varix, which led to cyanoacrylate embolisation in the splenic and portal veins in a single patient. Cyanoacrylate embolisation is a known but uncommonly reported complication of endoscopic sclerotherapy. This case report illustrates the successful management of this complication (i.e. cyanoacrylate embolisation in the splenic and portal veins) with anticoagulation and analyses the presentation and management of other cases of cyanoacrylate embolisation reported in the literature.
