Abstract
A 75-year-old woman with systemic scleroderma was diagnosed with early gastric cancer StageⅠA (T1aN0M0P0H0), and underwent distal gastrectomy with D1+lymphadenectomy. Complication of hypertension were seen after surgery. This patient noticed blurred vision 10 days after surgery, and immediately visual disturbance after 14 days after surgery. CT and MRI of the brain revealed abnormalities of in the bilateral occipital lobes. We diagnosed her posterior reversible encephalopathy syndrome (PRES), presenting with visual disturbance caused by hypertension. Hypertension is the most commonly cause of PRES, followed by a malignancy, collagen disease, medications and eclampsia. In perioperative period of patients with these risk factors, blood pressure control is vitally important.
