Siyanoakrilat ilişkili pulmoner emboli; Olgu sunumu

Öz

Sirotik hastaların %50’ye yakınında özofagus ve gastrik varisler gelişir. Varisli siroz hastalarında dekompansasyon bulgusu olarak varis kanaması görülebilmektedir. Kanamalar sıklıkla özofageal varis kaynaklı kanamalardır. Gastrik varisler daha nadir kanar; ancak daha ciddi ve mortalitesi yüksek kanamalara neden olurlar. Gastrik varisler özofagus varisleri ile karşılaştırıldığında daha geniş çapta ve submukozal alanda daha derine uzanım gösterebilirler. Bu nedenle özofagus varisleri için yapılan standart endoskopik tedaviler büyük oranda etkisizdir. Siyanoakrilat tedavisinde septik ve embolik komplikasyonlar görülebildiği bildirilmiştir. Olgumuzda akut gastrik varis kanaması ile başvuran siroz hastasında siyanoakrilat tedavisi sonrası gelişen pulmoner emboli olgusu sunulmuştur.

Anahtar Kelimeler

• Varis
• siyanoakrilat
• emboli

Cyanoacrylate associated pulmonary embolism: A case report

Öz

Up to 50% of cirrhotic patients develop esophageal and gastric varices. Varicose bleeding may develop as a sign of decompensation in patients with cirrhosis with varicose veins. Bleeding is often caused by esophageal varices. Gastric varices bleed less frequently, but they cause more serious and high-mortality bleeding. Compared to esophageal varices, gastric varices may extend more widely and deeper into the deep submucosal area. Therefore, standard endoscopic treatments for esophageal varices are largely ineffective. Septic and embolic complications have been reported from cyanoacrylate treatment. In our case, a case of pulmonary embolism that developed after cyanoacrylate treatment in a cirrhosis patient who presented with acute gastric variceal bleeding is presented.

Anahtar Kelimeler

• Gastric varices
• cyanoacrylate
• thromboembolism

Kaynakça

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