Fatal cerebral air embolus complicating multimodality treatment of esophageal cancer.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22051294.
- Also identified by DOI 10.1016/j.athoracsur.2011.03.054.
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Abstract
A 38-year-old woman with clinical T3N1M0 esophageal adenocarcinoma received an institutional protocol of induction chemotherapy, esophagectomy, and consolidation chemoradiotherapy. Three months after treatment, she had an acute mental status change develop and grand mal seizures. Intracranial imaging demonstrated massive cerebral air emboli, and a rapidly fatal neurologic deterioration ensued. At autopsy, a nonmalignant 0.5-cm gastric conduit to the left atrial fistula was identified. This case illustrates a rare, but fatal, late benign complication of aggressive therapy for locally advanced esophageal cancer.
Medical subject headings
- Adenocarcinoma
- Embolism, Air
- Esophageal Neoplasms
- Intracranial Embolism