Elsevier

Gastrointestinal Endoscopy

Volume 65, Issue 2, February 2007, Pages 345-347
Gastrointestinal Endoscopy

Brief Report
Fatal multiple systemic embolisms after injection of cyanoacrylate in bleeding gastric varices of a patient who was noncirrhotic but with idiopathic portal hypertension

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Case report

A 30-year-old man with a medical history of persistent elevation of liver enzymes and chronic hepatitis of unknown origin was referred to our hospital with a suspected hemorrhagic relapse, 12 days after a gastric variceal bleeding had been medically treated in another hospital. The patient was pale, without symptoms of hepatic decompensation; blood pressure was 115/70 mm Hg, and cardiac pulse was normal.

Results of laboratory tests were as follows: Hb, 10.0 g/dL (normal range, 13.5-17.5 g/dL);

Discussion

Hepatoportal sclerosis is a distinct clinicopathologic syndrome of noncirrhotic portal hypertension characterized by sclerosis of the intrahepatic portal veins.10

Various alternative names have been applied to this disorder, the most popular of which are idiopathic portal hypertension and noncirrhotic portal fibrosis.11, 12 The clinical presentation comprises manifestations of portal hypertension in the face of preserved liver function: bleeding from esophagogastric varices, splenomegaly, and

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