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Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices
Other Title(s)
السدة الصمغية الرئوي : مضاعفة غير عادية بعد العلاج التصليبي بالمنظار لدوالي المعدة
Joint Authors
Michael, Philips Jurj
Antoniades, Georgios
Staicu, Anca
Sidat, Shahid
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 18, Issue 2 (31 May. 2018), pp.231-235, 5 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2018-05-31
Country of Publication
Oman
No. of Pages
5
Main Subjects
Abstract EN
A pulmonary glue embolism is an unusual but potentially life-threatening complication following the treatment of variceal bleeding, especially in patients with large varices requiring large volumes of sclerosant.
Other contributory factors include the rate of injection and ratio of the constituent components of the sclerosant (i.e.
n-butylcyanoacrylate and lipiodol).
This condition may be associated with a delayed onset of respiratory compromise.
Therefore, a high degree of clinical suspicion is essential in patients with unexplained cardiorespiratory decline during or following endoscopic sclerotherapy.
We report a 65-year-old man who was admitted to the Hull Royal Infirmary, Hull, UK, in 2017 with haematemesis and melaena.
He subsequently developed acute respiratory distress syndrome secondary to a glue embolism following emergency sclerotherapy for bleeding gastric varices.
The aetiology of the embolism was likely a combination of the large size of the gastric varices and the large volume of cyanoacrylate needed.
After an endoscopy, the patient underwent transjugular intrahepatic portosystemic shunting twice to control the bleeding, after which he recovered satisfactorily.
American Psychological Association (APA)
Michael, Philips Jurj& Antoniades, Georgios& Staicu, Anca& Sidat, Shahid. 2018. Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices. Sultan Qaboos University Medical Journal،Vol. 18, no. 2, pp.231-235.
https://search.emarefa.net/detail/BIM-904230
Modern Language Association (MLA)
Michael, Philips Jurj…[et al.]. Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices. Sultan Qaboos University Medical Journal Vol. 18, no. 2 (May. 2018), pp.231-235.
https://search.emarefa.net/detail/BIM-904230
American Medical Association (AMA)
Michael, Philips Jurj& Antoniades, Georgios& Staicu, Anca& Sidat, Shahid. Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices. Sultan Qaboos University Medical Journal. 2018. Vol. 18, no. 2, pp.231-235.
https://search.emarefa.net/detail/BIM-904230
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 234-235
Record ID
BIM-904230