Severe cerebral injury secondary to an air embolism following ERCP for biliary calculus extraction: a case report - Takeaways - MDSpire

Severe cerebral injury secondary to an air embolism following ERCP for biliary calculus extraction: a case report

  • By

  • Weimei Zhou

  • Liyang Hang

  • Guodong Wu

  • Chen Zhang

  • Xiaoyan Wang

  • Jiang Liu

  • Xuhua Cai

  • June 26, 2026

  • 0 min

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  • 1

    A 70-year-old female experienced severe cerebral injury due to an air embolism following ERCP for biliary stone extraction.

  • 2

    During the ERCP, the patient had episodes of decreased oxygenation, hypotension, and bradycardia, requiring resuscitation efforts.

  • 3

    Despite stabilization measures, the patient developed severe cerebral injury and ultimately had treatment withdrawn.

  • 4

    The case highlights the potential risks of air embolism during ERCP, which can lead to significant complications.

  • 5

    The study aims to analyze mechanisms of gas entry during procedures and discuss strategies for enhancing safety in biliary interventions.

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