Eosinophilic pleural effusion after gastric variceal obliteration with cyanoacrylate

Abstract

Pleuropulmonary complications after endoscopic injection sclerotherapy for treatment of esophagogastric varices are not uncommon but are usually mild and self-limited. Herein we report a male patient with liver cirrhosis who underwent endoscopic injection sclerotherapy, using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil for obliteration of gastric varices. After the procedure, he developed moderate amount of left pleural effusion that persisted for a period of time and required thoracentesis and medical treatment. We believed that the inadvertent retrograde reflux of the embolized glue and ethiodized oil via the portosystemic venous collateral into the left pleura might be the possible mechanism for the development of left pleural effusion as the droplets of ethiodized oil were seen along the left pleura on the imaging studies.

A Bioinspired Wet/Dry Microfluidic Adhesive for Aqueous Environments

“…are altered so as to produce a reversible and reusable adhesive that is much stronger vis-à-vis an elastic nonstructured layer. In some biomedical applications, such a strategy could also avoid complications of irreversible adhesion, contamination, inflammatory, thromboembolic and septic complications, toxicity, and the possibility of viral transmissions from the glues derived from biosources. ,, …”