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[Coma following ethanol sclerotherapy].

Valéry Blasco1, Lionel Pellegrini, Pierre Visintini

  • 1Département d'anesthésie et de réanimation, CHU de Nord, F-13915 Marseille Cedex 20, France.

Presse Medicale (Paris, France : 1983)
|January 8, 2008
PubMed
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A rare case of acute alcohol intoxication occurred after ethanol sclerotherapy for a renal cyst. Physicians should be aware of this risk during percutaneous alcohol injection procedures.

Area of Science:

  • Nephrology
  • Urology
  • Interventional Radiology

Background:

  • Simple serous renal cysts are common, benign conditions.
  • Ethanol sclerotherapy is a treatment option for symptomatic renal cysts.
  • Percutaneous alcohol injection carries potential risks.

Observation:

  • A patient developed acute alcohol intoxication after percutaneous ethanol sclerotherapy for a renal cyst.
  • The intoxication was severe, leading to coma.
  • The renal cyst ruptured, causing systemic ethanol resorption.

Findings:

  • Iatrogenic alcohol intoxication is a rare complication of renal cyst sclerotherapy.
  • Systemic absorption of ethanol can occur if the cyst ruptures.
  • Computed tomography (CT) guidance was used for the procedure.

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Implications:

  • Physicians must be vigilant for signs of alcohol intoxication following the procedure.
  • Management protocols should include monitoring for systemic ethanol toxicity.
  • This complication, though rare, highlights the importance of patient selection and careful technique in ethanol sclerotherapy.