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Cerebral air embolism as a complication of peptic ulcer in the gastric tube: case report
Authors:Takahisa Suzuki  Takafumi Ando  Akihisa Usami  Masataka Shinoda  Hitomi Takashi  Mutsumi Murayama  Isako Uchiyama  Kazuhiro Morise  Shinya Endo  Nobuhiro Haruki  Kazuhiro Tashiro  Hidemi Goto
Affiliation:1. Department of Gastroenterology, Nagoya University Graduate School of Medicine, (65 Tsurumai-cho, Showa-ku), Nagoya City, Aichi, (466-8550), Japan
2. Department of Gastroenterology, Toyota Memorial Hospital, (1-1, Heiwa-cho), Toyota City, (471-8513), Japan
3. Department of Surgery, Toyota Memorial Hospital, (1-1, Heiwa-cho), Toyota City, (471-8513), Japan
4. Department of Pathology, Toyota Memorial Hospital, (1-1, Heiwa-cho), Toyota City, (471-8513), Japan
Abstract:

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.
Keywords:
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