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A non-contrast CT scan confirmed multiple emboli of injected glue material from the varix with parenchymal changes either suggesting acute lung injury or pulmonary oedema. He gradually recovered with supportive treatment and was discharged home. On follow-up, he remained asymptomatic from a chest perspective. This case report discusses the rare complication of pulmonary embolisation of cyanoacrylate glue from variceal injection sites and the diagnostic dilemmas involved. Emphasis is placed on the importance of maintaining high index of clinical suspicion when assessing patients with possible procedure related complications.<\/jats:p>","DOI":"10.1136\/bcr-2014-206461","type":"journal-article","created":{"date-parts":[[2014,10,15]],"date-time":"2014-10-15T07:07:30Z","timestamp":1413356850000},"page":"bcr2014206461","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Delayed onset pulmonary glue emboli in a ventilated patient: a rare complication following endoscopic cyanoacrylate injection for gastric variceal haemorrhage"],"prefix":"10.1136","volume":"2014","author":[{"given":"Joyce Ruo Yi","family":"Chew","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, Addenbrooke's Hospital, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anu","family":"Balan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Addenbrooke's Hospital, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Department of Hepatology, Addenbrooke's Hospital, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jurgen","family":"Herre","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Addenbrooke's Hospital, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,10,15]]},"reference":[{"key":"2025082623591169000_2014.oct15_1.bcr2014206461.1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2010.228437"},{"key":"2025082623591169000_2014.oct15_1.bcr2014206461.2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-9180"},{"key":"2025082623591169000_2014.oct15_1.bcr2014206461.3","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2007.09.051"},{"key":"2025082623591169000_2014.oct15_1.bcr2014206461.4","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/S1665-2681(19)31896-4","article-title":"Pulmonary embolism after sclerotherapy treatment of bleeding varices","volume":"7","author":"Habib","year":"2008","journal-title":"Ann Hepatol"},{"key":"2025082623591169000_2014.oct15_1.bcr2014206461.5","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/30231294"},{"issue":"(Suppl 3\u20134)","key":"2025082623591169000_2014.oct15_1.bcr2014206461.6","first-page":"III1","article-title":"UK guidelines on the management of variceal haemorrhage in cirrhotic patients. 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