SciELO - Scientific Electronic Library Online

 
vol.148 issue11Ethical tribulations of COVID-19: the sinister ominous, existential responsibility and Medice, Cura Te IpsumCushing syndrome caused by a giant adrenal carcinoma. Report of one case author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista médica de Chile

Print version ISSN 0034-9887

Abstract

BRICENO, Eduardo et al. Removal of an infected gastric cyanoacrylate plug. Report of one case. Rev. méd. Chile [online]. 2020, vol.148, n.11, pp.1674-1678. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872020001101674.

In patients with actively bleeding gastric varices, the treatment of choice is the endoscopic use of sclerosing agents such as cyanoacrylate. We report a 69-year-old man who, after being treated with cyanoacrylate, suffered from recurrent febrile episodes. After an extensive study and broad-spectrum antibiotic treatment, discarding other presumably infectious focus, the superinfection of the cyanoacrylate plug was suspected, and its surgical removal was decided. A partial gastrectomy of the gastric fundus, a splenectomy, and a distal pancreatectomy were performed. The patient evolved without fever and without new episodes of bacteremia, but with decompensation of his cirrhosis manifested by ascites, spontaneous bacterial peritonitis, pneumonia, and collections in the pancreatic bed. These complications were managed with medical treatment consisting in a long course of broad-spectrum antibiotics. Thereafter, the patient evolved satisfactorily.

Keywords : Cyanoacrylates; Esophageal and Gastric Varices; Infections; Sclerotherapy.

        · text in Spanish     · Spanish ( pdf )