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KMID : 0882420090760060732
Korean Journal of Medicine
2009 Volume.76 No. 6 p.732 ~ p.736
An adrenal gland abscess after N-butyl-2-cyanoacrylate (Histoacryl¢ç) injection therapy for gastric varices bleeding
Yea Chang-Jin

Baik Soon-Koo
Kim Moon-Young
Kim Eun-Mi
Lee Il-Young
Suk Ki-Tae
Abstract
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.
KEYWORD
Adrenal gland abscess, Gastric varices bleeding, N-butyl-2-cyanoacrylate, Sclerotherapy, Complication
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