title: Glue embolism: a rare cause of pulmonary embolism.
abstract: N-butyl-2-cyanoacrylate is widely used to sclerose bleeding gastric varices. We report the case of a 65-year-old lady, known case of cirrhosis secondary to hepatitis C infection, who presented to the emergency department with coffee ground vomiting and melena for four days. Gastroscopy showed non-bleeding small esophageal varices, mild portal hypertensive gastropathy and a large gastric fundal varix. Injection sclerotherapy was completed successfully and haemostasis was secured. During the procedure, she was hemodynamically stable with an oxygen saturation of 98%. Immediately after the procedure, she went into cardiopulmonary arrest; cardiopulmonary resuscitation (CPR) was started, but she could not be revived. A provisional diagnosis of pulmonary embolism was made. X-ray chest showed linear hyperdense shadows in both pulmonary arteries and in some of their branches, which were not seen on pre-procedural chest X-ray. The patient died of massive pulmonary embolism as confirmed on X-ray chest.
authors.affiliation: Department of Gastroenterology, Liaquat National Hospital, Karachi.
authors.forename: Pervez
authors.initials: P
authors.lastname: Ashraf
authors.forename: Syed Afzal-ul-Haq
authors.initials: SA
authors.lastname: Haqqi
authors.forename: Hafeezullah
authors.initials: H
authors.lastname: Shaikh
authors.forename: Asif J
authors.initials: AJ
authors.lastname: Wakani
mesh_terms: D000269:Adhesives / Q000009:adverse effects*; D000368:Aged; D004659:Enbucrilate / Q000009:adverse effects*; D004932:Esophageal and Gastric Varices / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest; D006801:Humans; D011655:Pulmonary Embolism / Q000139:chemically induced* / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D012307:Risk Factors
chemical_list: D000269:Adhesives; D004659:Enbucrilate