Case Report

Volume: 5 | Issue: 7 | Published: Jun 29, 2021 | Pages: 214 - 217 | DOI: 10.24911/ejmcr/173-1612639021

Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report


Authors: Mariana Morales-Cruz , Daniel Zamora Valdes , Paulina Moctezuma Velazquez , Emma Laura Castro Romero , Edgar Martos Armendariz , Miguel Angel Mercado


Article Info

Authors

Mariana Morales-Cruz

Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico

Daniel Zamora Valdes

Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico

Paulina Moctezuma Velazquez

Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico

Emma Laura Castro Romero

Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico

Edgar Martos Armendariz

Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico

Miguel Angel Mercado

Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico

Publication History

Received: February 12, 2021

Accepted: June 04, 2021

Published: June 29, 2021


Abstract


Background: Falciform ligament abscesses are uncommon. The few cases reported in the literature are associated with infectious or inflammatory conditions such as acute cholecystitis and omphalitis in pediatric patients. However, it has only been rarely described as a complication for some therapeutic procedures. Case Presentation: A 23-year-old female with primary portal vein thrombosis, portal hypertension, and gastric varices with a history of upper gastrointestinal bleedings. The last episode required cyanoacrylate injection. After administering the injection, septic emboli obstructed the splenic vein causing the recanalization and thrombosis of the paraumbilical veins. Therefore, an abscess formed within the falciform ligament. The treatment consisted of surgical drainage and antibiotics. Conclusion: Diagnosis of falciform ligament abscesses requires a high degree of clinical suspicion and vast knowledge of anatomy. It is important to recognize its pathophysiology and consider the possible differential diagnosis to offer the best approach and treatment for its underlying cause.

Keywords: Abscess, septic emboli, cyanoacrylate, falciform ligament, portal thrombosis, case report, green


Pubmed Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR. 2021; 29 (June 2021): 214-217. doi:10.24911/ejmcr/173-1612639021

Web Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. https://ejmcr.com/articles/1305 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1612639021

AMA (American Medical Association) Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR. 2021; 29 (June 2021): 214-217. doi:10.24911/ejmcr/173-1612639021

Vancouver/ICMJE Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR. (2021), [cited December 25, 2024]; 29 (June 2021): 214-217. doi:10.24911/ejmcr/173-1612639021

Harvard Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado (2021) Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR, 29 (June 2021): 214-217. doi:10.24911/ejmcr/173-1612639021

Chicago Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado. "Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report." 29 (2021), 214-217. doi:10.24911/ejmcr/173-1612639021

MLA (The Modern Language Association) Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado. "Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report." 29.June 2021 (2021), 214-217. Print. doi:10.24911/ejmcr/173-1612639021

APA (American Psychological Association) Style

Mariana Morales-Cruz, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, Miguel Angel Mercado (2021) Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. , 29 (June 2021), 214-217. doi:10.24911/ejmcr/173-1612639021