Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices

We report a case of recurrent gastrointestinal bleeding in the setting of diffuse duodenal and colorectal varices. These varices were secondary to either congenital absence of the portal vein or chronic occlusion of the portal vein leading to cavernous transformation of a collateral network of varic...

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Detalles Bibliográficos
Autores principales: Radlinski, Mark, Fie, Taylor, Richhart, Raymond, Wentworth, Brian, Caldwell, Stephen, Henry, Zachary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162136/
https://www.ncbi.nlm.nih.gov/pubmed/32337308
http://dx.doi.org/10.14309/crj.0000000000000342
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author Radlinski, Mark
Fie, Taylor
Richhart, Raymond
Wentworth, Brian
Caldwell, Stephen
Henry, Zachary
author_facet Radlinski, Mark
Fie, Taylor
Richhart, Raymond
Wentworth, Brian
Caldwell, Stephen
Henry, Zachary
author_sort Radlinski, Mark
collection PubMed
description We report a case of recurrent gastrointestinal bleeding in the setting of diffuse duodenal and colorectal varices. These varices were secondary to either congenital absence of the portal vein or chronic occlusion of the portal vein leading to cavernous transformation of a collateral network of varices. He was acutely managed with injection of N-butyl-2-cyanoacrylate into a large complex of duodenal varices. His hospital course was complicated by a postprocedural gastrointestinal bleed within the first 24 hours after the procedure arising from a new duodenal ulcer at the site of injection, likely secondary to ischemia after obliteration of the varices.
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spelling pubmed-71621362020-04-24 Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices Radlinski, Mark Fie, Taylor Richhart, Raymond Wentworth, Brian Caldwell, Stephen Henry, Zachary ACG Case Rep J Case Report We report a case of recurrent gastrointestinal bleeding in the setting of diffuse duodenal and colorectal varices. These varices were secondary to either congenital absence of the portal vein or chronic occlusion of the portal vein leading to cavernous transformation of a collateral network of varices. He was acutely managed with injection of N-butyl-2-cyanoacrylate into a large complex of duodenal varices. His hospital course was complicated by a postprocedural gastrointestinal bleed within the first 24 hours after the procedure arising from a new duodenal ulcer at the site of injection, likely secondary to ischemia after obliteration of the varices. Wolters Kluwer 2020-03-17 /pmc/articles/PMC7162136/ /pubmed/32337308 http://dx.doi.org/10.14309/crj.0000000000000342 Text en © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Radlinski, Mark
Fie, Taylor
Richhart, Raymond
Wentworth, Brian
Caldwell, Stephen
Henry, Zachary
Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices
title Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices
title_full Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices
title_fullStr Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices
title_full_unstemmed Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices
title_short Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices
title_sort post-treatment ulceration and bleeding after cyanoacrylate injection of duodenal varices
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162136/
https://www.ncbi.nlm.nih.gov/pubmed/32337308
http://dx.doi.org/10.14309/crj.0000000000000342
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