Year : 2023  |  Volume : 17  |  Issue : 2  |  Page : 249-251

Pulmonary biological glue embolism after endoscopic repair of gastric varices – A case report

1 Serviço de Anestesiologia e Cuidados Intensivos, Centro Hospitalar e Universitário do Porto, Porto, Portugal
2 Serviço de Anestesiologia e Cuidados Intensivos, Unidade Local de Saúde de Matosinhos, Porto, Portugal

Correspondence Address:
Constanca Penedos
Centro Hospitalar e Universitário do Porto, Largo do Prof. Abel Salazar, 4099-001 Porto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sja.sja_673_22

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Cyanoacrylate injection is widely used to treat hemorrhagic gastric varices. A pulmonary glue embolism is an unusual but potentially fatal complication. We present a case of a 51-year-old man with a history of alcoholic hepatic cirrhosis Child-Pugh B, who had an acute pulmonary embolism with sudden cardiorespiratory collapse due to biological glue injection used for the emergent repair of bleeding gastric varices. After the restoration of respiratory and hemodynamic parameters, he was admitted to the intensive care unit and the pulmonary biological glue emboli were documented with computed tomography scan. A high index of suspicion for this entity is essential in patients submitted to endoscopic sclerotherapy. Some might be asymptomatic or mildly symptomatic, while others might present with cardiorespiratory collapse.

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