Acute pulmonary embolism following endoscopic sclerotherapy for gastroesophageal variceal hemorrhage: A case report and literature review.
Nuanrat CheerasiriChusana SuankratayPublished in: SAGE open medical case reports (2019)
Gastroesophageal variceal hemorrhage is a substantial cause of death in patients with portal hypertension. Cyanoacrylate injection is a widely used endoscopic treatment for variceal hemorrhage. We report herein the case of a 49-year-old male with decompensated alcoholic cirrhosis, who received endoscopic sclerotherapy to stop gastroesophageal variceal hemorrhage during hospitalization. The following day, he developed acute progressive dyspnea, and computed tomogram of pulmonary artery revealed acute pulmonary embolism at the right lower pulmonary artery. A final diagnosis of sclerotherapy-associated pulmonary embolism was made, and he gradually improved conservatively without anticoagulant treatment 2 weeks after hospitalization.
Keyphrases
- pulmonary embolism
- pulmonary artery
- liver failure
- coronary artery
- pulmonary hypertension
- inferior vena cava
- ultrasound guided
- pulmonary arterial hypertension
- respiratory failure
- drug induced
- heart failure
- liver injury
- aortic dissection
- blood pressure
- hepatitis b virus
- magnetic resonance imaging
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- replacement therapy
- ejection fraction
- mechanical ventilation
- diffusion weighted imaging