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.
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