A mentally retarded young man died with multiple miliary cerebral infarcts secondary to food embolization. His sudden and unexpected death resulted from an esophageal-cardiac perforation in the bed of a chronic esophageal ulcer into the left auricle. The infarcts were the likely result of unique embolization of food particles which gained entrance to the systemic circulation via the perforation. Food emboli were demonstrated in small arteries of virtually all organs examined.
Itabashi HH, Granada LO. Cerebral Food Embolism Secondary to Esophageal-Cardiac Perforation. JAMA. 1972;219(3):373-375. doi:10.1001/jama.1972.03190290059017