Late-onset colonic occlusion after emergent selective embolization of sigmoid artery with N-butyl cyanoacrylate for life-threatening traumatic bleeding.
A 30-year-old man who had life-threatening traumatic bleeding from the sigmoid colon was successfully treated with emergent selective embolization of the sigmoid artery with N-butyl cyanoacrylate without ischemia. However, the patient developed colonic occlusion that became clinically apparent 6 months after the embolization and required surgical treatment. Interventional radiologists should be aware of the possibility of late-onset intestinal stricture. Because complications of mesenteric artery embolization may be delayed for months, an extended follow-up period is prudent to monitor the embolization site even in the absence of clinical symptoms.
Toyoda
Hidenori
H
Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki, Gifu, Japan. tkumada@he.mirai.ne.jp
Kumada
Takashi
T
Sone
Yasuhiro
Y
Isogai
Masatoshi
M
Kaneoka
Yuji
Y
D000007:Abdominal Injuries / Q000150:complications / Q000628:therapy; D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects; D004659:Enbucrilate / Q000009:adverse effects* / Q000627:therapeutic use*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006490:Hemostatics / Q000009:adverse effects*; D006801:Humans; D007415:Intestinal Obstruction / Q000139:chemically induced* / Q000517:prevention & control*; D008297:Male; D012810:Sigmoid Diseases / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
D006490:Hemostatics; D004659:Enbucrilate