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.
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