• Clin Med (Lond) · Mar 2022

    Case Reports

    Images of the month 1: Histoacryl glue embolisation to the right ventricle following treatment for gastric varices.

    • Gautam Sen, George Papasozomenos, Alexandros Papachristidis, Vishal C Patel, and Daniel Sado.
    • King's College Hospital NHS Foundation Trust, London, UK and King's College London, London, UK gautamsen@nhs.net.
    • Clin Med (Lond). 2022 Mar 1; 22 (2): 163164163-164.

    AbstractA 46-year-old woman presented with decompensated liver disease. Upper gastrointestinal endoscopy demonstrated a gastric fundal varix with stigmata of recent bleeding. She was treated with Histoacryl glue and lipiodol injection. As a part of a clinical trial, a transthoracic echocardiography was performed. This showed an echogenic mass in the right ventricle. The mass was initially assumed to be thrombus, but as the clinical story did not fit with this, she had further investigations. Computed tomography found the mass to be very radio-opaque with embolisation into the right lung. This is a rare appearance of glue embolisation, a recognised complication of treatment with Histoacryl glue.© Royal College of Physicians 2022. All rights reserved.

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