Question:

What signs and symptoms may be expected with cyanoacrylate/lipiodol pulmonary embolism?
1. Fever.
2. Tachycardia.
3. Leukocytosis.
4. Diarrhea.
5. Muscle cramps.





Answer:

The correct answers for the question "What signs and symptoms may be expected with cyanoacrylate/lipiodol pulmonary embolism?" are:

1. Fever.

2. Tachycardia.

3. Leukocytosis.



Explanation
Fever, tachycardia and leukocytosis are commonly seen  as a complication of cyanoacrylate/lipiodol pulmonary embolization.  This is of particular concern because sepsis has been described as a complication of this procedure.  Technically, the patient may meet SIRS criteria and may or may not be infected.  The other answers are not commonly described as a complication.



From the manuscript:
Pulmonary Embolism Following 2-Octyl-Cyanoacrylate/Lipiodol Injection for Obliteration of Gastric Varices: An Imaging Perspective
Radiology Case. 2012 Feb; 6(2):17-22


This article belongs to the Chest section.




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From the manuscript

Pulmonary Embolism Following 2-Octyl-Cyanoacrylate/Lipiodol Injection for Obliteration of Gastric Varices: An Imaging Perspective

Free full text article: Pulmonary Embolism Following 2-Octyl-Cyanoacrylate/Lipiodol Injection for Obliteration of Gastric Varices: An Imaging Perspective

Abstract
Bleeding from esophageal and gastric varices remains a significant cause of morbidity and mortality for patients with liver cirrhosis. Currently, therapeutic strategies for gastric variceal bleeding include transjugular intrahepatic portosystemic shunt, cyanoacrylate sclerotherapy and hepatic transplantation. Though relatively safe and efficacious, endoscopic sclerotherapy using cyanoacrylate has known complications including infection, bleeding, and distal embolization. This case report describes a patient who became febrile and tachycardic following sclerotherapy and subsequently had an abnormal chest radiograph that prompted further evaluation for pulmonary embolization of the sclerosant. The focuses of this report are the computed tomographic and radiographic findings associated with 2-octyl-cyanoacrylate/lipiodol pulmonary embolization.






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