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Original Article
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Korean J Med. 2009;76(6):732-736.
- 위정맥류 출혈에 HistocarylⓇ 주입 후 발생한 부신농양 1예
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예창진, 백순구, 김문영, 석기태, 이일영, 김은미
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- An adrenal gland abscess after N-butyl-2-cyanoacrylate (Histoacryl?) injection therapy for gastric varices bleeding
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Chang Jin Yea, Soon Koo Baik, Moon Young Kim, Ki Tae Suk, Il Young Lee, Eun Mi Kim
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- Abstract
- N-butyl-2-cyanoacrylate (Histoacryl?) is used to obtain hemostasis in gastric variceal bleeding. Known complications of Histoacryl? injection therapy include bleeding, perforation, stenosis, and embolism. We report a case of adrenal abscess as a very rare complication of Histoacryl? injection. A 40-year-old male with liver cirrhosis was admitted with acute gastric variceal bleeding. Sclerotherapy using Histoacryl? mixed with lipiodol (3 mL) was successful. Twenty-seven months later, he was readmitted complaining of left flank pain and a fever of 39°C. Abdominal computed tomography (CT) showed a heterogeneous enhancing solid and cystic mass (6.1×3.0 cm) at the left adrenal gland. A left adrenalectomy was performed and the pathological examination confirmed a Histoacryl?-related adrenal abscess. We present this case along with a brief review of the literature.
Keywords :Adrenal gland abscess, Gastric varices bleeding, N-butyl-2-cyanoacrylate, Sclerotherapy, Complication
