title: Gas Embolic Stroke Secondary to Bowel Infarction.
abstract: A 69-year-old gentleman with metastatic esophageal adenocarcinoma presented with acute abdominal pain to the emergency medicine department and subsequently developed an acute left hemiplegia while in the resuscitation unit. An unenhanced computed tomography (CT) scan of the head showed right frontal cerebral gas emboli while an unenhanced CT scan of the abdomen and pelvis showed extensive portal venous gas and pneumatosis intestinalis, presumed secondary to bowel infarction.
authors.affiliation: Neurosurgery Department, University Hospital of Coventry, Warwickshire, UK. Electronic address: dhruvji@hotmail.com.
authors.forename: Dhruv
authors.initials: D
authors.lastname: Parikh
authors.affiliation: Radiology Department, University Hospital of Birmingham, Birmingham, UK.
authors.forename: Joe Joseph
authors.initials: JJ
authors.lastname: Leyon
authors.affiliation: Radiology Department, University Hospital of Birmingham, Birmingham, UK.
authors.forename: Swarupsinh
authors.initials: S
authors.lastname: Chavda
mesh_terms: D000006:Abdomen, Acute; D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary / Q000601:surgery; D000368:Aged; D004618:Embolism, Air / Q000000981:diagnostic imaging / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery; D016629:Esophagectomy; D017809:Fatal Outcome; D005625:Frontal Lobe / Q000098:blood supply / Q000000981:diagnostic imaging; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D007081:Ileostomy; D007238:Infarction / Q000150:complications*; D007421:Intestine, Small / Q000098:blood supply*; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008642:Mesenteric Veins; D010534:Peritoneal Neoplasms / Q000150:complications / Q000556:secondary; D011169:Portal Vein; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography
keywords: Batson; Stroke; bowel infarction; cerebral; gas embolism; ischemia