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March 29, 2026Clinical Case Reports0 citationsOpen Access

Paradoxical Gas Embolism During Laparoscopic Cholecystectomy With Postoperative Acute Cerebral Infarction: A Case Report

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ZLZhizhen LaiYTYali TangXLXuejie Li

Key Points

  • To report the occurrence of gas embolism and subsequent acute cerebral infarction during laparoscopic cholecystectomy.
  • Case report of a 61-year-old man
  • Utilized transesophageal echocardiography for diagnosis
  • Monitored intraoperative and postoperative conditions
  • Patient experienced circulatory shock during surgery
  • Transesophageal echocardiography showed bubbles in all four cardiac chambers
  • Postoperative diagnosis of acute cerebral infarction with limb movement impairment

Abstract

ABSTRACT Gas embolism is a serious complication in laparoscopic cholecystectomy. Intraoperative real‐time transesophageal echocardiography is helpful for diagnosis. We present a case of a 61‐year‐old man who underwent laparoscopic cholecystectomy and experienced circulatory shock. Transesophageal echocardiography showed a large number of bubbles in four cardiac chambers, although there was an absence of an intracardiac shunt. After the surgery, the patient had an impairment of limb movement and was diagnosed with postoperative acute cerebral infarction.

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Cite This Study

Lai et al. (2026) studied this question.

synapsesocial.com/papers/69c8c34bde0f0f753b39dfa2https://doi.org/10.1002/ccr3.72401
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Paradoxical carbon dioxide embolism during laparoscopic cholecystectomy as a cause of cardiac arrest and neurologic sequelae: a case report2014 · 10 citations
  2. 2Detection of Gas Embolism by Transesophageal Echocardiography During Laparoscopic Cholecystectomy1996 · 151 citations
  3. 3Early diagnosis of gas embolism during laparoscopic surgery facilitated by a decrease in end-tidal CO2: a case study2025
  4. 4Stroke Secondary to Air Embolism Following Laparoscopic Nissen Fundoplication2024
  5. 5Analysis of Tomographic Images of a Catastrophic Gas Embolism during Endoscopic Retrograde Cholangiopancreatography2024