Delayed, life-threatening lower gastrointestinal hemorrhage in an infant after serial transverse enteroplasty: treatment with transcatheter n-butyl-2-cyanoacrylate embolization.
We report a case of n-butyl-2-cyanoacrylate glue embolization of life-threatening lower gastrointestinal (LGI) hemorrhage in a 10-month-old boy. The child had a history of gastroschisis and short-bowel syndrome. Six months prior to the LGI bleed, he had undergone a serial transverse enteroplasty (STEP) to lengthen his intestine. To the best of our knowledge this is both the first report of successful glue embolization for LGI bleeding in a child and also the first report of severe hemorrhage after the STEP procedure.
Bogue
Conor O
CO
Division of Image Guided Therapy, Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto M5G 1X8, Canada. cbogue@eircom.net
Alzahrani
Amin I
AI
Wales
Paul W
PW
John
Philip R
PR
Amaral
Joao G
JG
D000792:Angiography / Q000379:methods; D002404:Catheterization / Q000379:methods*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D006490:Hemostatics / Q000008:administration & dosage; D006801:Humans; D007223:Infant; D041741:Lower Gastrointestinal Tract / Q000000981:diagnostic imaging; D008297:Male; D015641:Radiography, Interventional / Q000379:methods*; D016896:Treatment Outcome
D006490:Hemostatics; D004659:Enbucrilate