PULMONARY SPARING - MULTI ORGAN GLUE EMBOLISM

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NEHA SRIVASTAVA
SHIKHA S
PUTUL S.

Abstract

 Histoacryl endostasis is used in patients with large varices and not amenable to surgery or admitted to centers that do not have TIPSS. This case report describes a 49 year old patient who developed glue embolism to multiple organs ;but lungs were spared; following endoscopic haemoeostasis. . She was known to have Child-Pugh class C liver cirrhosis secondary to alcoholic liver disease requiring multiple ascitic taps and OGD within past 3 months. She was admitted to with a two-day history of coffee coloured vomitus and melaena. She was then taken to theatre for urgent OGD - where gastric varix glued and esophageal varix were banded however, still being unable to achieve haemostasis so, Sengstaken Blakemore tube was also placed. On repeat bleeding from a banded varix, within 12 hours, she required further glue mix injected to another esophageal varix. Upon return to the ITU she rapidly deteriorated in terms of her oxygen requirements ,cardiovascular stability, neurology and renal functions. CTPA revealed embolisation of glue material scattered throughout the liver, small foci within the inferior spleen, bilaterally within the renal cortices and lower pole of right kidney and both the consolidated lung bases. There were also small foci within the left ventricle and within the coronary arteries. CTH CAP two days later showed: Evidence of bilateral occipital infarcts with evidence of widespread embolisation in the brain. Patient was referred to specialized centre. However, she deteriorated rapidly and died

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NEHA SRIVASTAVA, SHIKHA S, & PUTUL S. (2022). PULMONARY SPARING - MULTI ORGAN GLUE EMBOLISM. Innovat International Journal Of Medical & Pharmaceutical Sciences, 7(3), 1–2. Retrieved from https://innovatpublisher.com/index.php/iijmps/article/view/188
Section
Case Report

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