Recurrent Bacteremia after Cyanoacrylate Sclerotherapy of Ectopic Duodenal Varices
Sclerotherapy with N-butyl-2-cyanoacrylate is the first-line endoscopic approach for gastric and ectopic variceal bleeding, but it can be associated with local or systemic complications. Episodes of transient bacteremia after the procedure are frequent, but documented cases of recurrent bacteremia are rare. The authors report a 47-year-old female patient with liver cirrhosis who underwent duodenal sclerotherapy with cyanoacrylate after upper gastrointestinal bleeding. Subsequently, she developed five episodes of bacteremia with unknown origin. A definitive diagnosis of recurrent bacteremia due to cyanoacrylate was only possible after an exhaustive study to exclude other infectious foci. This case highlights a rare complication in an unusual topography (ectopic varices) and with a high number of episodes of bacteremia. A multidisciplinary management was paramount due to the patient's high surgical and anesthetic risk, comorbidities, and surgical aggressiveness.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Acta medica portuguesa - 37(2024), 2 vom: 01. Feb., Seite 136-141 |
| Sprache: |
Portugiesisch |
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| Weiterer Titel: |
Bacteriemias Recorrentes após Escleroterapia de Varizes Ectópicas Duodenais com Cianoacrilato |
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| Beteiligte Personen: |
Martins Mendes, Teresa [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 05.02.2024 Date Revised 05.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.20344/amp.19444 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM358886694 |
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| 245 | 1 | 0 | |a Recurrent Bacteremia after Cyanoacrylate Sclerotherapy of Ectopic Duodenal Varices |
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| 520 | |a Sclerotherapy with N-butyl-2-cyanoacrylate is the first-line endoscopic approach for gastric and ectopic variceal bleeding, but it can be associated with local or systemic complications. Episodes of transient bacteremia after the procedure are frequent, but documented cases of recurrent bacteremia are rare. The authors report a 47-year-old female patient with liver cirrhosis who underwent duodenal sclerotherapy with cyanoacrylate after upper gastrointestinal bleeding. Subsequently, she developed five episodes of bacteremia with unknown origin. A definitive diagnosis of recurrent bacteremia due to cyanoacrylate was only possible after an exhaustive study to exclude other infectious foci. This case highlights a rare complication in an unusual topography (ectopic varices) and with a high number of episodes of bacteremia. A multidisciplinary management was paramount due to the patient's high surgical and anesthetic risk, comorbidities, and surgical aggressiveness | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bacteremia/etiology | |
| 650 | 4 | |a Enbucrilate/adverse effects | |
| 650 | 4 | |a Esophageal and Gastric Varices/therapy | |
| 650 | 4 | |a Gastrointestinal Hemorrhage | |
| 650 | 4 | |a Sclerotherapy/ adverse effects | |
| 650 | 7 | |a Cyanoacrylates |2 NLM | |
| 700 | 1 | |a Fonseca, Teresa |e verfasserin |4 aut | |
| 700 | 1 | |a Pereira Anjos, Diana |e verfasserin |4 aut | |
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