Sclerosant extravasation as a complication of sclerosing endotherapy for bleeding gastric varices.
We report here the case of a 65-year-old woman who suffered intraperitoneal sclerosant leakage after endoscopic injection sclerotherapy for bleeding gastric varices. In total, 3 ml of N-butyl-2-cyanoacrylate and Lipiodol mixture was injected. The patient developed mild fever and pain over the left upper quadrant and flank after the procedure. In addition to a Lipiodol-filled gastric varix, the imaging studies disclosed a wide spread of Lipiodol over the left peritoneal cavity. The patient was kept fasting with parenteral antibiotics and nutrition. She responded well to the treatment, and all of the symptoms had subsided 6 days later.
Dept. of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
H-C
HC
Cheng
P-N
PN
Cheng
Y-M
YM
Tsai
H-M
HM
Tsai
C-Y
CY
Chen
D015746:Abdominal Pain / Q000209:etiology*; D000368:Aged; D016145:Endoscopy, Digestive System; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy*; D005260:Female; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D010532:Peritoneal Diseases / Q000209:etiology*; D012597:Sclerosing Solutions / Q000009:adverse effects*; D015911:Sclerotherapy / Q000009:adverse effects*
D012597:Sclerosing Solutions