EFFECT OF ETANOLAMINE OLEATE AND CYANOACRYLATE ON THE TREATMENT FOR THE ESOPHAGEAL HEMANGIOMA -A CASE REPORT -

Abstract

We report a case of esophageal hemangioma which was well treated by administration of Etanolamine Oleate (EO) and Cyanoacrylate (CA). A 48-year-old male who was carried out the endoscopy because a protruding lesion of the esophagus was pointed out by medical examination, and he was admitted because of growing of it endoscopically in next year. Two nodular protruding lesions which were blue calor and redness on the surface were endoscopically observed. These 20mm and 15mm in size lesions at 28cm and 30cm from the incisor tooth after admission were easily depressed by pressure of the forceps. Endoscopic injection sclerotherapy was performed for these cases which was suspected hemangioma. After aspiration of the blood by using 23-G puncture needle, EO was infused, and needle was pulled out by following infusion of CA. Endoscopic findings showed the exposure of CA in 1 week and dropout of it and improvement of lesions in 2 weeks respectively. The blood gas analysis collected from tumor was as same as that in the arterial blood. This method was considered to be a new endoscopical therapy in the esophageal hemangioma. This case was supposed to be a Blue Rubber Bleb Nevus Syndrome associated with hemangioma in the digestive tract and skin.