PMC5817299_01
Endoscopic image of bleeding varices in the cardia and fundus.
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fig1
During endoscopy, gastroesophageal varices (Sarin's GOV-2) with large gastric component (at the cardia and fundus) toward the greater curvature were visualized (Figure 1).
Endoscopic image of hardened gastric varices after intravariceal injection with N-butyl-2-cyanoacrylate.
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fig2
A total of 5 ml of the mixture was injected in 5 separate aliquots at 5 different locations with complete obliteration (Figure 2).
Computed tomography view of the abdomen (in coronal view). The liver contour is nodular (red arrows) confirming the presence of cirrhosis. There is a hypodense collection (yellow arrow) near the splenic hilum and below the stomach, corresponding to the retrogastric abscess. The small amount of residual N-butyl-2-cyanoacrylate is brightly visible in the perigastric region (green arrow).
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fig3
The CT scan (Figures 3 and 4) showed a retrogastric abscess (5.1 cm x 3.4 cm x 4.3 cm in size) adjacent to the left diaphragmatic crus and pancreatic tail.
Computed tomography view of the abdomen (in axial view). The hypodense collection (yellow arrow) behind the stomach corresponds to the retrogastric abscess. The residual N-butyl-2-cyanoacrylate in the perigastric region is more explicit in this view (green arrow).
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fig4
The CT scan (Figures 3 and 4) showed a retrogastric abscess (5.1 cm x 3.4 cm x 4.3 cm in size) adjacent to the left diaphragmatic crus and pancreatic tail.
Computed tomography view of the abdomen (in coronal view) after completion of antibiotics. The previously seen retrogastric abscess has completely resolved leaving behind a small area of scarred tissue (yellow arrow). The residual N-butyl-2-cyanoacrylate in the perigastric region is still visible (green arrow).
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fig5
Two CT scans (Figures 5 and 6) were repeated at one month intervals, which showed gradual resolution of the retrogastric abscess to a small nonliquid lesion.
Computed tomography view of the abdomen (in axial view) after completion of antibiotics. The previously seen retrogastric abscess has completely resolved leaving behind a small area of scarred tissue (yellow arrow). The residual N-butyl-2-cyanoacrylate in the perigastric region is still visible (green arrow).
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fig6
Two CT scans (Figures 5 and 6) were repeated at one month intervals, which showed gradual resolution of the retrogastric abscess to a small nonliquid lesion.