2018•Clinical Case ReportsOpen access

Massive air embolism as a complication of upper gastrointestinal endoscopy: A case report illustrating a stroke mimic, literature review, and suggested management

Anders Kjellberg, Harriet Nyström, Martin Söderberg, Aldona Dlugosz, Henrik Jörnvall, Anna Steinberg

Abstract

Cerebral air embolism should be considered in case of stroke symptoms during any invasive procedure. Transport to a hospital with neurosurgical/hyperbaric oxygen treatment (HBOT) facility could improve the outcome for the patient. Absence of air on computed tomography (CT) scan should not disqualify a patient from HBOT if air embolism is suspected.

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Key concepts: Medicine, Stroke (engine), Complication, Endoscopy, Intracranial Embolism, Embolism, Air embolism, General surgery