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KMID : 0359019940140040437
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Korean Journal of Gastrointestinal Endoscopy
1994 Volume.14 No. 4 p.437 ~ p.441
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A Case of Portal and Splenic vein Thrombosis Developed by Complication of Histoacry Injection Therapy in Gastric Varix
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이명렬
주재학/이준성/이문성/조성원/심찬섭
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Abstract
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liquid tissue adheisve, Histoacryl (n-buty 1-2-cyanoacrylate) has been used for the treatment of gastric variceal bleeding. The techniques are as follows: 0.5cc histoacryl mixed with Lipiodol per each injection are used. 3 to 4 injections are
usually
required for large variceal convolutes under the fluoroscopic visualizations after the injection of Histoacryl. Complications of sclerotherapy with Histoacryl are bleeding, perforation, stenosis and embolism depending on the concentration and
amount
used, as well as the intensity of the treatment.
Here we describe a case report developing portal and splenic vein thrombosis as a side effect after Histoacryl injection therapy for the treatment of gastric varix bleeding.
A 59-year-old male patient with liver cirrhosis was admitted due to acute gastric varix bleeding. The control of gastric variceal bleeding was acheved by several injections of 0.7cmixture of 0.5cc histoacryl and 0.8cc Lipiodol. However, simple
X-ray and
ultrasonography revealed the elements of Histoacryl-lipiodol mixture in the portal and splenic vein.
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