Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli.
Endoscopic variceal obturation of gastric varices with tissue glue is considered the first choice for management of gastric varices, and is usually safe and effective. However, there is still a low incidence of complications and some are even fatal. Here, we present a case in which endoscopic variceal ligation caused laceration of the esophageal varicose vein with tissue glue emboli and massive bleeding after 3 mo. Cessation of bleeding was achieved via variceal sclerotherapy using a cap-fitted gastroscope. Methods of recognizing an esophageal varicose vein with tissue glue plug are discussed.
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Xiu-Qing
XQ
Wei
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Hua-Ying
HY
Gu
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Zhi-E
ZE
Wu
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Hui-Biao
HB
Miao
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Pei-Qi
PQ
Wang
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Zhuo-Fu
ZF
Wen
Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Bin
B
Wu
D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D004659:Enbucrilate / Q000009:adverse effects*; D016099:Endoscopy, Gastrointestinal; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D020699:Gastroscopes; D016558:Hemostasis, Endoscopic / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D022125:Lacerations / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008026:Ligation; D008875:Middle Aged; D012008:Recurrence; D015911:Sclerotherapy / Q000295:instrumentation; D016896:Treatment Outcome
D004659:Enbucrilate
Gastroesophageal varices; Laceration; Tissue glue injection; Variceal bleeding; Varices ligation