Asunto(s)
Síndrome de Loeys-Dietz/diagnóstico , Neumotórax/genética , Proteínas Serina-Treonina Quinasas/genética , Receptores de Factores de Crecimiento Transformadores beta/genética , Adulto , Femenino , Predisposición Genética a la Enfermedad , Humanos , Síndrome de Loeys-Dietz/complicaciones , Síndrome de Loeys-Dietz/genética , Mutación , Neumotórax/diagnóstico por imagen , Neumotórax/etiología , Radiografía , Receptor Tipo II de Factor de Crecimiento Transformador beta , Úvula/anomalíasRESUMEN
Cyanoacrylate injection is a recognised endoscopic treatment option for variceal haemorrhage. We describe a 34-year old man with hepatitis B cirrhosis who presented to the hospital with upper gastrointestinal haemorrhage from gastric and oesophageal varices. Haemostasis was achieved via cyanoacrylate injection sclerotherapy and banding. Ten days later, the patient developed acute hypoxia and fever. His chest radiograph showed wide-spread pulmonary shadowing. A non-contrast CT scan confirmed multiple emboli of injected glue material from the varix with parenchymal changes either suggesting acute lung injury or pulmonary oedema. He gradually recovered with supportive treatment and was discharged home. On follow-up, he remained asymptomatic from a chest perspective. This case report discusses the rare complication of pulmonary embolisation of cyanoacrylate glue from variceal injection sites and the diagnostic dilemmas involved. Emphasis is placed on the importance of maintaining high index of clinical suspicion when assessing patients with possible procedure related complications.
Asunto(s)
Adhesivos/efectos adversos , Cianoacrilatos/efectos adversos , Várices Esofágicas y Gástricas/terapia , Hemorragia Gastrointestinal/terapia , Embolia Pulmonar/etiología , Escleroterapia , Adhesivos/administración & dosificación , Adulto , Cianoacrilatos/administración & dosificación , Várices Esofágicas y Gástricas/complicaciones , Hemorragia Gastrointestinal/etiología , Humanos , MasculinoRESUMEN
This review describes the broad spectrum of findings found in atrial isomerism, suggesting a sequential approach to image evaluation, and illustrates the most common situs disorders, for example, polysplenia and asplenia.