[Gastrointestinal bleeding due to the expulsion of cyanoacrylate glue after endoscopic embolization of gastric varices: a case report].

Fatimetou Zahra Cheikhna,Nabila Elgasmi, Mohammed Tahiri,Fatima Zahra Elrhaoussi,Fouad Haddad, Wafaa Hliwa, Ahmed Bellabah, Wafaa Badre

The Pan African medical journal(2022)

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摘要
Embolization of gastric varices with cyanoacrylate glue is the treatment of choice for digestive bleeding due to rupture of gastric varices. Gastrointestinal bleeding due to the expulsion of cyanoacrylate glue after gluing of gastric varices is a rare complication. We here report the case of a 65-year-old female patient on cirrhosis and decompensation treatment, undergoing cyanoacrylate glue of gastric varices 3 months before her admission for upper gastrointestinal bleeding; oesogastroduodenal fibroscopy objectified oesophageal varices grade 2 with ulcerated gastric varices and active bleeding due to the expulsion of cyanoacrylate glue. The patient received blood transfusion and sandostatin as well as cyanoacrylate gluing of GOV2 with no complications. Gastrointestinal bleeding after expulsion of cyanoacrylate glue is a serious complication of gluing. Few cases have been described in the literature that required, most often, endoscopic hemostasis.
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关键词
Upper gastrointestinal bleeding,case report,expulsion of cyanoacrylate glue,gastric varice,portal hypertension
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