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Food embolus

P Reynolds1, F O Walker, J Eades

  • 1Department of Neurology, Wake Forest University, Bowman Gray School of Medicine, Winston-Salem, NC 27157-1078, USA.

Journal of the Neurological Sciences
|August 1, 1997
PubMed
Summary
This summary is machine-generated.

A rare esophagoatrial fistula caused fatal brainstem stroke due to food emboli. New atrial fibrillation or pericardial effusion may signal fistula formation in patients with chronic dysphagia.

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Area of Science:

  • Gastroenterology and Neurology
  • Cardiology

Background:

  • Chronic dysphagia presents a risk for esophageal complications.
  • Esophagoatrial fistulas are rare but potentially fatal conditions.

Observation:

  • A 74-year-old man with chronic dysphagia developed acute nausea, vomiting, and fever.
  • The patient suffered an abrupt, fatal brainstem stroke.

Findings:

  • Autopsy revealed an esophagoatrial fistula with multiple food emboli.
  • Emboli were found in visceral and cerebral arteries, explaining the stroke.

Implications:

  • New-onset atrial fibrillation or pericardial effusion in patients with chronic esophageal symptoms may indicate fistula formation.
  • Early detection of esophagoatrial fistulas is crucial for preventing catastrophic embolization and gastrointestinal hemorrhage.