Keimyung Med J.  2014 Dec;33(2):164-168. 10.0000/kmj.2014.33.2.164.

A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding

• Kang EJ
• Park SY
• Lee YR
• Kim CY
• Ahn SY
• Park JG
• Lee HS
• Tak WY
• Kweon YO

• KMID: 1967206
• DOI: http://doi.org/10.0000/kmj.2014.33.2.164

Abstract

Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacryl(R) (n-butyl-2-cyanoacrylate) has been accepted as an effective hemostatic procedure in acute gastric variceal bleeding. However, EVO is not a widely performed because of technical difficulties and complications such as mucosal ulceration, perforation, and systemic embolism. Herein, we report a patient who developed hepatic failure caused by portal vein occlusion by Histoacryl(R) injection for management of gastric variceal bleeding.

Keyword

Gastric variceal bleeding; Histoacryl(R); Portal vein occlusion; Splenic vein occlusion

MeSH Terms

Embolism
Esophageal and Gastric Varices*
Humans
Hypertension, Portal
Liver Failure
Mortality
Portal Vein*
Splenic Vein*
Ulcer