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Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices

Endoscopic variceal sclerotherapy and ligation are standard treatment modalities used for the management of esophageal varices. Reportedly, sclerotherapy and ligation are associated with complications such as hematuria, pulmonary thrombus formation, pleural effusion, renal dysfunction, and esophagea...

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Autores principales: Ochiai, Tomoko, Nakade, Yukiomi, Kitano, Rena, Kato, Shunsuke, Sakamoto, Kazumasa, Inoue, Tadahisa, Kobayashi, Yuji, Ishii, Norimitsu, Ohashi, Tomohiko, Sumida, Yoshio, Ito, Kiyoaki, Nakao, Haruhisa, Furuta, Chihiro, Yano, Motoki, Yoneda, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636992/
https://www.ncbi.nlm.nih.gov/pubmed/29033774
http://dx.doi.org/10.1159/000480378
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author Ochiai, Tomoko
Nakade, Yukiomi
Kitano, Rena
Kato, Shunsuke
Sakamoto, Kazumasa
Inoue, Tadahisa
Kobayashi, Yuji
Ishii, Norimitsu
Ohashi, Tomohiko
Sumida, Yoshio
Ito, Kiyoaki
Nakao, Haruhisa
Furuta, Chihiro
Yano, Motoki
Yoneda, Masashi
author_facet Ochiai, Tomoko
Nakade, Yukiomi
Kitano, Rena
Kato, Shunsuke
Sakamoto, Kazumasa
Inoue, Tadahisa
Kobayashi, Yuji
Ishii, Norimitsu
Ohashi, Tomohiko
Sumida, Yoshio
Ito, Kiyoaki
Nakao, Haruhisa
Furuta, Chihiro
Yano, Motoki
Yoneda, Masashi
author_sort Ochiai, Tomoko
collection PubMed
description Endoscopic variceal sclerotherapy and ligation are standard treatment modalities used for the management of esophageal varices. Reportedly, sclerotherapy and ligation are associated with complications such as hematuria, pulmonary thrombus formation, pleural effusion, renal dysfunction, and esophageal stenosis. However, hemothorax following sclerotherapy and ligation has not yet been reported. We treated a patient who presented with liver cirrhosis and polycythemia vera and later developed hemothorax following the above-mentioned procedures. An 86-year-old man diagnosed with liver cirrhosis due to chronic hepatitis type B and alcohol abuse underwent variceal sclerotherapy using ethanolamine oleate to treat his esophageal varices. Oozing from the esophageal varices continued even after the sclerotherapy procedure; therefore, we performed endoscopic variceal ligation. The patient developed left-sided hemothorax within 24 h after treatment of his varices, and an emergency thoracotomy was performed. A pulmonary ligament of the left lung was bulging and ripping because of mediastinal hematoma, and oozing was noted. Cessation of bleeding was noted after the laceration of the left pulmonary ligament had been sutured. Ours is the first case of hemothorax reported in a patient following an uncomplicated procedure of sclerotherapy and ligation.
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spelling pubmed-56369922017-10-13 Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices Ochiai, Tomoko Nakade, Yukiomi Kitano, Rena Kato, Shunsuke Sakamoto, Kazumasa Inoue, Tadahisa Kobayashi, Yuji Ishii, Norimitsu Ohashi, Tomohiko Sumida, Yoshio Ito, Kiyoaki Nakao, Haruhisa Furuta, Chihiro Yano, Motoki Yoneda, Masashi Case Rep Gastroenterol Single Case Endoscopic variceal sclerotherapy and ligation are standard treatment modalities used for the management of esophageal varices. Reportedly, sclerotherapy and ligation are associated with complications such as hematuria, pulmonary thrombus formation, pleural effusion, renal dysfunction, and esophageal stenosis. However, hemothorax following sclerotherapy and ligation has not yet been reported. We treated a patient who presented with liver cirrhosis and polycythemia vera and later developed hemothorax following the above-mentioned procedures. An 86-year-old man diagnosed with liver cirrhosis due to chronic hepatitis type B and alcohol abuse underwent variceal sclerotherapy using ethanolamine oleate to treat his esophageal varices. Oozing from the esophageal varices continued even after the sclerotherapy procedure; therefore, we performed endoscopic variceal ligation. The patient developed left-sided hemothorax within 24 h after treatment of his varices, and an emergency thoracotomy was performed. A pulmonary ligament of the left lung was bulging and ripping because of mediastinal hematoma, and oozing was noted. Cessation of bleeding was noted after the laceration of the left pulmonary ligament had been sutured. Ours is the first case of hemothorax reported in a patient following an uncomplicated procedure of sclerotherapy and ligation. S. Karger AG 2017-09-15 /pmc/articles/PMC5636992/ /pubmed/29033774 http://dx.doi.org/10.1159/000480378 Text en Copyright © 2017 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Ochiai, Tomoko
Nakade, Yukiomi
Kitano, Rena
Kato, Shunsuke
Sakamoto, Kazumasa
Inoue, Tadahisa
Kobayashi, Yuji
Ishii, Norimitsu
Ohashi, Tomohiko
Sumida, Yoshio
Ito, Kiyoaki
Nakao, Haruhisa
Furuta, Chihiro
Yano, Motoki
Yoneda, Masashi
Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices
title Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices
title_full Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices
title_fullStr Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices
title_full_unstemmed Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices
title_short Hemothorax following Uncomplicated Endoscopic Variceal Sclerotherapy and Ligation for Esophageal Varices
title_sort hemothorax following uncomplicated endoscopic variceal sclerotherapy and ligation for esophageal varices
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636992/
https://www.ncbi.nlm.nih.gov/pubmed/29033774
http://dx.doi.org/10.1159/000480378
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