Keimyung Medical Journal  2014;33(2):164-168

A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding.

Eun Jeong KANG 1 ; Soo Young PARK ; Yu Rim LEE ; Chang Yeon KIM ; Sun Young AHN ; Jung Gil PARK ; Hyun Seok LEE ; Won Young TAK ; Young Oh KWEON

Affiliations

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Keywords

Gastric variceal bleeding; Histoacryl(R); Portal vein occlusion; Splenic vein occlusion

Country

Republic of Korea

Language

Korean

Abstract

Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacryl(R) (n-butyl-2-cyanoacrylate) has been accepted as an effective hemostatic procedure in acute gastric variceal bleeding. However, EVO is not a widely performed because of technical difficulties and complications such as mucosal ulceration, perforation, and systemic embolism. Herein, we report a patient who developed hepatic failure caused by portal vein occlusion by Histoacryl(R) injection for management of gastric variceal bleeding.