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
