Korean J Med.  2009 Jun;76(6):732-736.

An adrenal gland abscess after N-butyl-2-cyanoacrylate (Histoacryl(R)) injection therapy for gastric varices bleeding

• Yea CJ
• Baik SK
• Kim MY
• Suk KT
• Lee IY
• Kim EM

Abstract

N-butyl-2-cyanoacrylate (Histoacryl(R)) is used to obtain hemostasis in gastric variceal bleeding. Known complications of Histoacryl(R) injection therapy include bleeding, perforation, stenosis, and embolism. We report a case of adrenal abscess as a very rare complication of Histoacryl(R) injection. A 40-year-old male with liver cirrhosis was admitted with acute gastric variceal bleeding. Sclerotherapy using Histoacryl(R) mixed with lipiodol (3 mL) was successful. Twenty-seven months later, he was readmitted complaining of left flank pain and a fever of 39degreesC. Abdominal computed tomography (CT) showed a heterogeneous enhancing solid and cystic mass (6.1x3.0 cm) at the left adrenal gland. A left adrenalectomy was performed and the pathological examination confirmed a Histoacryl(R)-related adrenal abscess. We present this case along with a brief review of the literature

Keyword

Adrenal gland abscess; Gastric varices bleeding; N-butyl-2-cyanoacrylate; Sclerotherapy; Complication

MeSH Terms

Abscess
Adrenal Glands
Adrenalectomy
Adult
Constriction, Pathologic
Embolism
Enbucrilate
Esophageal and Gastric Varices
Ethiodized Oil
Fever
Flank Pain
Hemorrhage
Hemostasis
Humans
Liver Cirrhosis
Male
Sclerotherapy
Enbucrilate
Ethiodized Oil