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
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.
Authors
Mariana Morales-Cruz
Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico
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Daniel Zamora Valdes
Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico
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Paulina Moctezuma Velazquez
Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico
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Emma Laura Castro Romero
Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico
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Edgar Martos Armendariz
Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico
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Miguel Angel Mercado
Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico
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Correspondence to:
Mariana Morales-Cruz, Hepato-Pancreato-Biliary Surgery Department at National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Mexico marmocru@gmail.com
Publication history:
Received 12 Feb 2021
Revised 02 Jun 2021
Accepted 04 Jun 2021
Published online 29 Jun 2021
Published in print 25 Jul 2021
Morales-Cruz M, Valdes DZ, Velazquez PM, Romero ELC, Armendariz EM, Mercado MA. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR. 2021; 5(7): 214-217. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz M, Valdes DZ, Velazquez PM, Romero ELC, Armendariz EM, Mercado MA. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. https://www.ejmcr.com/?mno=53151 [Access: April 20, 2024]. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz M, Valdes DZ, Velazquez PM, Romero ELC, Armendariz EM, Mercado MA. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR. 2021; 5(7): 214-217. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz M, Valdes DZ, Velazquez PM, Romero ELC, Armendariz EM, Mercado MA. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR. (2021), [cited April 20, 2024]; 5(7): 214-217. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz, M., Valdes, . D. Z., Velazquez, . P. M., Romero, . E. L. C., Armendariz, . E. M. & Mercado, . M. A. (2021) Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. EJMCR, 5 (7), 214-217. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz, Mariana, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, and Miguel Angel Mercado. 2021. Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. European Journal of Medical Case Reports, 5 (7), 214-217. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz, Mariana, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, and Miguel Angel Mercado. "Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report." European Journal of Medical Case Reports 5 (2021), 214-217. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz, Mariana, Daniel Zamora Valdes, Paulina Moctezuma Velazquez, Emma Laura Castro Romero, Edgar Martos Armendariz, and Miguel Angel Mercado. "Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report." European Journal of Medical Case Reports 5.7 (2021), 214-217. Print. doi:
10.24911/ejmcr/173-1612639021
Morales-Cruz, M., Valdes, . D. Z., Velazquez, . P. M., Romero, . E. L. C., Armendariz, . E. M. & Mercado, . M. A. (2021) Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report. European Journal of Medical Case Reports, 5 (7), 214-217. doi:
10.24911/ejmcr/173-1612639021