Failure of Sengstaken balloon tamponade for rebleeding after tissue adhesive injection in a fundic varix.
A 61-year-old man developed a huge fundic varix due to portal hypertension in alcoholic liver cirrhosis. After a third injection therapy session with tissue adhesive (Histoacryl) massive hemorrhage developed. Sengstaken (gastric) balloon tamponade failed. Autopsy showed a huge, solid varix with a large hole on its side, inaccessible with the Sengstaken balloon.
Nieuwenhuis
J A
JA
Dept. of Internal Medicine, Academic Hospital Groningen, The Netherlands.
Peters
F T
FT
Sanders
J
J
van der Werf
T S
TS
Zijlstra
J G
JG
D021721:Balloon Occlusion; D002404:Catheterization; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D017211:Treatment Failure