title: [Pulmonary embolism after endoscopic injection with N-butyl-2-cyanoacrylate for gastric varices].
abstract: Gastric varices occur in one-third of patients with portal hypertension. Bleeding from gastric varices remains a significant cause of death. Currently the first-line of treatment for gastric varices is endoscopic obliteration with N-butyl-2-cyanoacrylate. Though relatively safe, this option has several well-known complications. We report the case of a 61-year-old male patient with cryptogenic cirrhosis, who presented with fever, tachycardia and hypoxemia after endoscopic obliteration with N-butyl-2-cyanoacrylate. Radiographic findings were consistent with pulmonary embolism of the sclerosing substance. The aim of this case report is to emphasize the clinical and radiological findings of this complication in order to distinguish it from other similar medical conditions and prevent a delay in diagnosis.
authors.affiliation: Servicio de Clínica Médica, Hospital Privado Universitario de Córdoba, Córdoba, Argentina. E-mail: gabyrobaina@hotmail.com.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Robaina
authors.affiliation: Instituto Universitario de Ciencias Biomédicas de Córdoba (IUCBC), Córdoba, Argentina.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Albertini
authors.affiliation: Servicio de Imágenes, Hospital Raúl Ferreyra, Córdoba, Argentina.
authors.forename: Martín
authors.initials: M
authors.lastname: Carranza
authors.affiliation: Servicio de Gastroenterología y Endoscopia Digestiva, Instituto Modelo de Cardiología Privado de Córdoba, Córdoba, Argentina.
authors.forename: Pablo
authors.initials: P
authors.lastname: Herrena Najum
mesh_terms: D000792:Angiography; D004659:Enbucrilate / Q000009:adverse effects*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005773:Gastroscopy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D012597:Sclerosing Solutions / Q000009:adverse effects*; D015911:Sclerotherapy / Q000009:adverse effects / Q000379:methods; D014057:Tomography, X-Ray Computed
chemical_list: D012597:Sclerosing Solutions; D004659:Enbucrilate
keywords: N-butyl-2-cyanoacrylate; gastric varices; pulmonary embolism