A Rare Case of Retrogastric Abscess Occurring Six Months after N-Butyl-2-Cyanoacrylate Injection into Gastric Varices

Author:

Hussain Ikram1ORCID,Kwek Andrew Eu Boon2,Meyyur Aravamudan Veeraraghavan3,Chong Chern Hao1,Ang Tiing Leong2

Affiliation:

1. Gastroenterology and Hepatology, Woodlands Integrated Health Campus (WIHC), Singapore

2. Gastroenterology and Hepatology, Changi General Hospital, Singapore

3. Department of Medicine, Woodlands Integrated Health Campus (WIHC), Singapore

Abstract

Background. Injection with N-butyl-2-cyanoacrylate is a proven and successful therapeutic modality for treatment of patients with bleeding gastric varices. However, a variety of complications have also been associated with its use. Here, we report a rare case of retrogastric abscess which occurred almost six months after this therapy. This abscess was attributed to the hampered microbial clearance caused by the venous obliterations from N-butyl-2-cyanoacrylate. The abscess was successfully treated with 3 months of antibiotics.

Publisher

Hindawi Limited

Subject

General Medicine

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