Food embolus

Journal of the Neurological Sciences
P ReynoldsP E Lantz

Abstract

A 74 year old man with chronic dysphagia acutely developed nausea, vomiting and fever, followed by abrupt, fatal brainstem stroke. Autopsy revealed an esophagoatrial fistula with multiple food emboli to visceral and cerebral arteries. Review of previous cases indicates that new onset atrial fibrillation or pericardial effusion in patients with chronic esophageal symptoms may herald fistula formation. Early recognition of such fistulas may provide an opportunity to intervene before catastrophic embolization or gastrointestinal hemorrhaging occurs.

References

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Feb 1, 1986·Journal of Neurology, Neurosurgery, and Psychiatry·F O Walker, B A Vern
Jan 1, 1974·Postgraduate Medical Journal·R W Strong
Apr 2, 1970·The New England Journal of Medicine·F A Laubscher

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Citations

Mar 24, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J FinstererT Pulgram
Jul 24, 2007·The Annals of Thoracic Surgery·Minh-Tri Jean-Pierre NguyenLorenzo E Ferri
Feb 23, 2019·Current Neurology and Neuroscience Reports·Sarkis G Morales-Vidal
Feb 11, 2021·Chest·Joshua D LeeDesiree A Marshall

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