RESUMO
We report a case of a 58-year-old male with cirrhosis and upper gastrointestinal bleeding who developed multiple lipiodol pulmonary emboli after endoscopic injection sclerotherapy for gastric variceal bleeding. The patient did not have any respiratory symptoms after the sclerotherapy. A chest radiograph, obtained 1 day after the procedure for the evaluation of fever, demonstrated multiple tubular radiopacities in both hilar regions. CT confirmed the existence of multiple radiopaque emboli within the main pulmonary arteries, a small pleural effusion, and no evidence of associated pulmonary parenchymal changes. The patient had no further symptoms, and the radiologic opacities persisted on radiographs obtained 3 months later.
Assuntos
Embucrilato/efeitos adversos , Embolia Pulmonar/etiologia , Embucrilato/uso terapêutico , Varizes Esofágicas e Gástricas/terapia , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Pulmonar/diagnóstico por imagem , Embolia Pulmonar/diagnóstico por imagem , Escleroterapia , Tomografia Computadorizada EspiralRESUMO
We present the case of a 76-year-old man referred to our hospital with a round stone in central mediastinum and pneumomediastinum in chest radiography and computed tomography. He had a previous history of attempt of endoscopic retrievement of a gallstone that had caused a gastric outlet obstruction (Bouveret syndrome). To our knowledge, this is the first imaging description of mediastinal gallstone caused by esophagus perforation during complicated endoscopic lithotomy.