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3. Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli.

Author

Wei XQ, Gu HY, Wu ZE, Miao HB, Wang PQ, Wen ZF, and Wu B

Subjects
Embolization, Therapeutic methods, Endoscopy, Gastrointestinal, Esophageal and Gastric Varices diagnosis, Female, Gastrointestinal Hemorrhage diagnosis, Gastrointestinal Hemorrhage etiology, Gastroscopes, Hemostasis, Endoscopic methods, Humans, Lacerations diagnosis, Lacerations surgery, Ligation, Middle Aged, Recurrence, Sclerotherapy instrumentation, Treatment Outcome, Embolization, Therapeutic adverse effects, Enbucrilate adverse effects, Esophageal and Gastric Varices complications, Gastrointestinal Hemorrhage surgery, Hemostasis, Endoscopic adverse effects, Lacerations etiology
Abstract

Endoscopic variceal obturation of gastric varices with tissue glue is considered the first choice for management of gastric varices, and is usually safe and effective. However, there is still a low incidence of complications and some are even fatal. Here, we present a case in which endoscopic variceal ligation caused laceration of the esophageal varicose vein with tissue glue emboli and massive bleeding after 3 mo. Cessation of bleeding was achieved via variceal sclerotherapy using a cap-fitted gastroscope. Methods of recognizing an esophageal varicose vein with tissue glue plug are discussed.

Published
2014
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