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Volume 79 - 2016 - Fasc.4 - Clinical images

Dysphagia after endoscopic treatment of oesophageal varice

A 71-year-old male, with alcoholic liver cirrhosis and portal hypertension, presented with hematemesis. He had a history of previous episodes of esophageal varices bleeding that were treated with endoscopic variceal sclerotherapy (EVS), few years before presentation. The esophagogastroduodenoscopy confirmed an acute bleeding from a ruptured esophageal varice. Emergent variceal band ligation (EVL) was attempted but could not control the bleeding. Then we decided to perform EVS with intravariceal injection of 8ml of 1% polidocanol solution, with successful hemostasis. After 24 hours of this apparently uneventful emergent endoscopic technique, the patient complained of retrosternal pain and dysphagia and had another episode of hematemesis. An esophagoscopy was performed revealing the findings shown on Fig. 1.