RECURRENT SEPSIS DUE TO CIANOCHRILATE INJECTION INTO SUBCARDIAL VARICES. ENDOSCOPIC CURATIVE TREATMENT

A 60 years old man with HCV cirrhosis suffered variceal subcardial bleeding and was treated with cianochrilate injection. During the following year he presented multiple bacteremias and sepsis without a clear origin even with a full body CT, MRI and SPECT. We performed an upper endoscopy and USE which showed an hypoechoic structure into the previous injection point compatible with acummulated cianochrilate. Then by using a needle-knife sphincterotome we cut this area and using a forceps we extracted all the acummulated cianochrilate. After this, the outcome was favorable without any more bacteremias, allowing to submit the patient to liver transplantation.