BACKGROUND: The reported incidence of ulcer formation in the gastric tube in esophageal replacement is rare. CASE PRESENTATION: This 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. CONCLUSIONS: Cerebral 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.
BACKGROUND: The reported incidence of ulcer formation in the gastric tube in esophageal replacement is rare. CASE PRESENTATION: This 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. CONCLUSIONS: Cerebral 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.
Authors: Mark ter Laan; Erik Totte; Rob A van Hulst; Klaas van der Linde; Wim van der Kamp; Jean-Pierre E Pierie Journal: Eur J Gastroenterol Hepatol Date: 2009-07 Impact factor: 2.566
Authors: N Koide; M Hiraguri; A Nishio; K Hanazaki; W Adachi; N Shikama; M Oguchi; T Maezawa; J Amano Journal: J Gastroenterol Hepatol Date: 2001-02 Impact factor: 4.029