Korean J Gastrointest Endosc.  2001 Dec;23(6):494-498.

A Case of Splenic Infarction after Histoacryl(R) Injection in Gastric Varix Bleeding

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. lisdrim@cmc.cuk.ac.kr

Abstract

Histoacryl(R) (n-butyl-2-cyanoacrylate) has been used successfully for the treatment of gastric variceal bleeding. The reported complications of Histoacryl(R) injection therapy include bleeding, perforation, stenosis and embolism. Here we describe a case of splenic infarction as an unusual complication of Histoacryl(R) injection. A 51-year-old male patient with liver cirrhosis was admitted due to acute gastric varix bleeding. Sclerotherapy was successfully carried out using Histoacryl(R) mixed with lipiodol (2.6 mL). 4 days later, he complained left upper quadrant pain and developed a fever of 38.2degrees C. Abdominal CT showed wedge-shaped hypodense area in the spleen compatible with infarction. He was treated conservatively. The fever and abdominal pain gradually subsided and he was discharged without significant problems.

Keyword

Splenic infarction; Histoacryl(R); Gastric varix bleeding

MeSH Terms

Abdominal Pain
Constriction, Pathologic
Embolism
Esophageal and Gastric Varices*
Ethiodized Oil
Fever
Hemorrhage*
Humans
Infarction
Liver Cirrhosis
Male
Middle Aged
Sclerotherapy
Spleen
Splenic Infarction*
Tomography, X-Ray Computed
Ethiodized Oil
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