Open AccessEndoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli
Author(s) -
Xiuqing Wei,
Huaying Gu,
Zhie Wu,
Miao Hui-biao,
Peiqi Wang,
Zhiyuan Wen,
Bin Wu
Publication year - 2014
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v20.i42.15937
Subject(s) - medicine , varicose veins , ligation , sclerotherapy , glue , surgery , varix , varices , gastric varices , esophagus , endoscopy , radiology , materials science , cirrhosis , composite material
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.