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Fatal cerebral arterial gas embolism after endoscopic retrograde cholangiopancreatography

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Author(s): Rangappa Pradeep | Uhde Britta | Byard Roger | Wurm Alex | Thomas Peter

Journal: Indian Journal of Critical Care Medicine
ISSN 0972-5229

Volume: 13;
Issue: 2;
Start page: 108;
Date: 2009;
Original page

Keywords: Cerebral arterial gas embolism | endoscopic retrograde cholangiopancreatography | hyperbaric oxygen (HBO 2 )

ABSTRACT
We report the case of a 50-year-old woman undergoing elective endoscopic retrograde cholangiopancreatography, who developed coma and hemiparesis secondary to severe cerebral artery gas embolism. Despite prompt diagnosis and early hyperbaric oxygen therapy (HBO 2 ) she developed severe cerebral edema and died within 24 h.

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