KMID : 0882420090760060732
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Korean Journal of Medicine 2009 Volume.76 No. 6 p.732 ~ p.736
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An adrenal gland abscess after N-butyl-2-cyanoacrylate (Histoacryl¢ç) injection therapy for gastric varices bleeding
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Yea Chang-Jin
Baik Soon-Koo Kim Moon-Young Kim Eun-Mi Lee Il-Young Suk Ki-Tae
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Abstract
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N-butyl-2-cyanoacrylate (Histoacryl¢ç) is used to obtain hemostasis in gastric variceal bleeding. Known complications of Histoacryl¢ç injection therapy include bleeding, perforation, stenosis, and embolism. We report a case of adrenal abscess as a very rare complication of Histoacryl¢ç injection. A 40-year-old male with liver cirrhosis was admitted with acute gastric variceal bleeding. Sclerotherapy using Histoacryl¢ç mixed with lipiodol (3 mL) was successful. Twenty-seven months later, he was readmitted complaining of left flank pain and a fever of 39¡ÆC. Abdominal computed tomography (CT) showed a heterogeneous enhancing solid and cystic mass (6.1¡¿3.0 cm) at the left adrenal gland. A left adrenalectomy was performed and the pathological examination confirmed a Histoacryl¢ç-related adrenal abscess. We present this case along with a brief review of the literature.
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KEYWORD
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Adrenal gland abscess, Gastric varices bleeding, N-butyl-2-cyanoacrylate, Sclerotherapy, Complication
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