• Bmc Gastroenterol · Jan 2011

    Case Reports

    Cerebral air embolism as a complication of peptic ulcer in the gastric tube: case report.

    • Takahisa Suzuki, Takafumi Ando, Akihisa Usami, Masataka Shinoda, Hitomi Takashi, Mutsumi Murayama, Isako Uchiyama, Kazuhiro Morise, Shinya Endo, Nobuhiro Haruki, Kazuhiro Tashiro, and Hidemi Goto.
    • Department of Gastroenterology, Nagoya University Graduate School of Medicine, (65 Tsurumai-cho, Showa-ku), Nagoya City, Aichi, (466-8550), Japan.
    • Bmc Gastroenterol. 2011 Jan 1;11:139.

    BackgroundThe reported incidence of ulcer formation in the gastric tube in esophageal replacement is rare.Case PresentationThis is the first report of a case of cerebral air embolism as a result of spontaneous perforation of an ulcer in the constructed gastric tube into the pulmonary vein during post-operative follow-up in a patient with esophageal cancer.ConclusionsCerebral air embolism is a rare complication of penetrating gastric ulcer, but should be considered in patients with a history of esophagectomy with gastric conduit that present with acute neurologic findings.

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