Résumé
L’hémorragie par rupture de varices gastriques est un réel défi pour les cliniciens. La sclérose de ces varices par injection de colle biologique ou butyl-cyanoacrylate (Histoacryl®) dilué avec le lipiodol en est le traitement de choix. Plusieurs complications souvent bénignes ont été reportées, alors que l’embolie pulmonaire reste rare. Nous rapportons le cas d’une patiente âgée de 52 ans qui avait présenté une embolie pulmonaire bilatérale secondaire à l’injection de colle au niveau d’une varice gastrique hémorragique.
Abstract
Bleeding caused by rupture of gastric varices is a real challenge for clinicians. Sclerosis of the gastric varices by butyl-cyanoacrylate (Histoacryl®) diluted with lipiodol is the treatment of choice. Various, usually benign, complications have been reported but pulmonary embolism is rare. We report the case of a 52-year-old patient who presented a bilateral pulmonary embolism secondary to a glue injection in a bleeding gastric varice.
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Références
Soehendra N (1986) Endoscopic obliteration of large esophagogastric varices with bucrylate. Endoscopy 1:25–26
Mumtaz K (2007) Prevalence of gastric varices and results of sclerotherapy with N-butyl-2-cyanoacrylate for controlling acute gastric variceal bleeding. World J Gastroenterol 8:1247–1251
Joo HS (2007) Long-term results of endoscopic histoacryl (N-butyl-2-cyanoacrylate) injection for treatment of gastric varices: a 10-year experience. Korean J Gastroenterol 5:320–326
Kok K (2004) Distal embolization and local vessel wall ulceration after gastric variceal obliteration with N-butyl-2-cyanoacrylate: a case report and review of the literature. Endoscopy 5:442–446
van Beek AP, van Erpecum KJ (2005) Fatal N-butyl-2-cyanoacrylate pulmonary embolism after sclerotherapy for variceal bleeding. Endoscopy 7:687
Alexander S, Korman MG, Sievert W (2006) Cyanoacrylate in the treatment of gastric varices complicated by multiple pulmonary emboli. Intern Med J 7:462–465
Tan PC (2006) A randomized trial of endoscopic treatment of acute gastric variceal hemorrhage: N-butyl-2-cyanoacrylate injection versus band ligation. Hepatology 4:690–697
Hwang SS (2001) N-butyl-2-cyanoacrylate pulmonary embolism after endoscopic injection sclerotherapy for gastric variceal bleeding. J Comput Assist Tomogr 1:16–22
Soehendra N (1987) N-butyl-2-cyanoacrylate: a supplement to endoscopic sclerotherapy. Endoscopy 6:221–224
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Benajah, D.A., Touyar, A., Aqodad, N.E. et al. Embolie pulmonaire liée à la sclérose d’une varice gastrique hémorragique par le butyl-cyanoacrylate. J Afr Hepato Gastroenterol 3, 26–28 (2009). https://doi.org/10.1007/s12157-009-0074-0
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DOI: https://doi.org/10.1007/s12157-009-0074-0