胃管致消化性溃疡并脑空气栓塞 1 例报告
Cerebral air embolism as a complication of peptic ulcer in the gastric tube: case report.
机构信息
Department of Gastroenterology, Nagoya University Graduate School of Medicine, (65 Tsurumai-cho, Showa-ku), Nagoya City, Aichi, (466-8550), Japan.
出版信息
BMC Gastroenterol. 2011 Dec 21;11:139. doi: 10.1186/1471-230X-11-139.
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.
背景
在食管替代中，胃管形成溃疡的报道发生率较低。
病例报告
这是首例报告一例因构建的胃管中的溃疡自发性穿孔进入肺静脉而导致的脑空气栓塞的病例，该病例发生在食管癌术后随访期间。
结论
穿透性胃溃疡导致脑空气栓塞是一种罕见的并发症，但对于有胃管食管切除术病史且出现急性神经症状的患者，应考虑这种并发症。
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