Pyogenic Portal Vein Thrombosis as a Reservoir of Persistent Septicemia after Cyanoacrylate Injection for Bleeding Gastric Varices

被引：17

作者：

Chang, Chen-Jung ^{[1
,4
]}

Shiau, Yih-Tsong ^{[1
,4
]}

Chen, Te-Li ^{[2
,4
]}

Hou, Ming-Chih ^{[1
,4
]}

Sun, Chih-Hao ^{[3
,4
]}

Liao, Wei-Chih ^{[1
,4
]}

Lin, Han-Chieh ^{[1
,4
]}

Lee, Shou-Dong ^{[1
,4
]}

机构：

[1] Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 11217, Taiwan

[2] Taipei Vet Gen Hosp, Dept Med, Div Infect Dis, Taipei 11217, Taiwan

[3] Taipei Vet Gen Hosp, Dept Pathol, Taipei 11217, Taiwan

[4] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan

来源：

DIGESTION | 2008年 / 78卷 / 2-3期

关键词：

Gastric varices; Pyogenic thromboembolism; Cyanoacrylate injection;

D O I：

10.1159/000175360

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

cirrhosis. A recent consensus suggested that endoscopic injection of tissue glue for gastric variceal obliteration (GVO) should be the first choice for treatment of acute gastric variceal bleeding. Following the widespread use of GVO, more severe complications such as needle cementation, fistula formation, embolic sequels, recurrent septicemia, etc., have been reported. We present the first case of GVO-complicated pyogenic portosplenic vein thrombosis which led to persistent Klebsiella pneumoniae septicemia. The foreign body of a glue plug offers an ideal surface for bacterial colonization which becomes a reservoir for continuous bacterial dissemination. The mechanism was proven by ribotyping of the microorganism and postmortem pathology. Copyright (c) 2008 S. Karger AG, Basel

引用

页码：139 / 143

页数：5

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