Document Detail

Eosinophilic pleural effusion after gastric variceal obliteration with cyanoacrylate.
MedLine Citation:
PMID:  17029769     Owner:  NLM     Status:  MEDLINE    
Pleuropulmonary complications after endoscopic injection sclerotherapy for treatment of esophagogastric varices are not uncommon but are usually mild and self-limited. Herein we report a male patient with liver cirrhosis who underwent endoscopic injection sclerotherapy, using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil for obliteration of gastric varices. After the procedure, he developed moderate amount of left pleural effusion that persisted for a period of time and required thoracentesis and medical treatment. We believed that the inadvertent retrograde reflux of the embolized glue and ethiodized oil via the portosystemic venous collateral into the left pleura might be the possible mechanism for the development of left pleural effusion as the droplets of ethiodized oil were seen along the left pleura on the imaging studies.
Viboon Boonsarngsuk; Thitiporn Suwatanapongched
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-10-06
Journal Detail:
Title:  Respiratory medicine     Volume:  101     ISSN:  0954-6111     ISO Abbreviation:  Respir Med     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-05     Completed Date:  2007-06-25     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8908438     Medline TA:  Respir Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  859-62     Citation Subset:  IM    
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
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MeSH Terms
Enbucrilate / adverse effects,  analogs & derivatives*
Eosinophilia / chemically induced*
Esophageal and Gastric Varices / therapy*
Extravasation of Diagnostic and Therapeutic Materials
Lung / radiography
Pleural Effusion / chemically induced*
Sclerotherapy / methods
Tissue Adhesives / adverse effects*
Reg. No./Substance:
0/Tissue Adhesives; 6606-65-1/Enbucrilate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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