Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli

Figure 1 Esophagogastroduodenoscopy revealed incomplete tissue glue extrusion and massive bleeding. A: Tissue glue extrusion was shown via endoscopy; B: Straight esophageal varices with red color signs were observed in the cardiac area; C: A piece of tadpole-shaped, semi-transparent, semi-soft tissue glue partially covered by a small piece of mucosa and blood vessel wall adhering to the transparent cap was released from the cap; D: Massive bleeding was revealed; E: The endoscopic vision was poor without the aid of the transparent cap; F: Massive, spurting bleeding was observed with the aid of the transparent cap; G: A precise intravenous injection was achieved with the aid of the transparent cap; H: The bleeding ceased.