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- W4226336844 abstract "Cerebral air embolism from portal venous gas rarely occurs due to invasive procedures (e.g., endoscopic procedures, liver biopsy, or percutaneous transhepatic biliary drainage) that disrupt the gastrointestinal or hepatobiliary structures. Here, we report a rare case of fatal cerebral air embolism following a series of percutaneous transhepatic biliary drainage tube insertions.A 50-year-old woman with a history of cholecystectomy, liver wedge resection, and hepaticojejunostomy for gallbladder cancer presented with altered mental status 1 week after percutaneous transhepatic biliary drainage tube placement.Extensive cerebral air embolism and acute cerebral infarction.Brain computed tomography and magnetic resonance imaging, hyperbaric oxygen therapy, medical therapy.Despite the use of hyperbaric oxygen therapy and medical treatment including vasopressors, the patient eventually died due to massive systemic air embolism.To date, there have been no reports of cerebral air embolism due to percutaneous transhepatic biliary drainage with pronounced radiologic images. We reviewed previously reported fatal cases associated with endoscopic hepatobiliary procedures and assessed the possible mechanisms and potential causes of air embolism." @default.
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- W4226336844 date "2021-12-30" @default.
- W4226336844 modified "2023-10-16" @default.
- W4226336844 title "Massive cerebral air embolism following percutaneous transhepatic biliary drainage" @default.
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- W4226336844 doi "https://doi.org/10.1097/md.0000000000028389" @default.
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