| Hemorrhage from fundal varices |
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Tortuous fundal varices
showing an
acute hemorrhage.
The visible gastric mucosa carries
characteristic cherry red spots
allowing the diagnosis of hepatic
gastropathy.
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Rinsing off the blood
renders possible
the indentification of the exact site of
hemorrhage.
At the left side an injection needle is
visible.
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After the first dose of
HistoacrylŽ injected to the varice the activity of
bleeding is already reduced.
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After 3 injections of 0,5
ml of
HistoacrylŽ complete hemostasis is
achieved. Large injections at a time
are not advisable for the danger of
embolisation (slow polymerisation).
The former origin of hemorrhage
is still discernable.
Paravasal applications of tissue
adhesives bear the acute danger of
necrosis.
Injection of the adhesive just next
to the bleeding allows observation
of adhesive material oozing out of
the bleeding site.
This in return proves correct intravasal injection.
Translation
- Blutungsquelle = source of bleeding
- Injektionsort = location of injection
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Fundal varices, hemorrhage 2