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Whole spinal pneumorrhachis following perforation of the rectum: A case report.
Radiol Case Rep
October 2024
Department of Neurosurgery (Spinal surgery), Shin-Kuki General Hospital, Kamihayami 418-1, Kuki, Saitama, Japan.
Article Synopsis
- - A 68-year-old man with a history of ulcerative colitis underwent a total proctocolectomy and later presented with symptoms including fever and diarrhea, leading to the discovery of whole spinal pneumorrhachis via a CT scan, which is a rare condition.
- - The CT results showed extensive air in the spinal canal from the cervical to sacral regions, which was linked to a perforation of the rectal anastomosis and a retroperitoneal abscess.
- - Treatment included antibiotics, and follow-up imaging indicated that the abscess area decreased in size; the occurrence of spinal pneumorrhachis from colon or rectum perforation is very uncommon, with only six similar cases documented in medical
Short-term changes in chest CT images among individuals at low altitude after entering high-altitude environments.
Front Public Health
July 2024
Department of Radiology, The General Hospital of Western Theater Command, Chengdu, China.
Objective: To investigate the short-term changes in chest CT images of low-altitude populations after entering a high-altitude environment.
Methods: Chest CT images of 3,587 people from low-altitude areas were obtained within one month of entering a high-altitude environment. Abnormal CT features and clinical symptoms were analyzed.
Hemodynamic instability caused by pneumorrachis and pneumomediastinum following epidural analgesia: a case report.
J Med Case Rep
May 2024
Second Department of Anesthesiology, "Attikon" University Hospital, National and Kapodistrian University of Athens, 1 Rimini Str., 12461, Athens, Greece.
Background: Pneumomediastinum and pneumorrachis are rare complications following epidural analgesia, that can either be asymptomatic or rarely can produce mild to moderate severity symptoms. Most reported cases regarding the presentation of these two entities with epidural analgesia concern asymptomatic patients, however there are cases reporting post-dural puncture headache and respiratory manifestations.
Case Presentation: We present a case where a combined lumbar epidural and spinal anesthesia was performed using the loss of resistance to air technique (LOR), on a 78-year-old Greek (Caucasian) male undergoing a total hip replacement.
Perforated gastric ulcer causing mediastinal emphysema: A case report.
World J Clin Cases
February 2024
Department of General Surgery, Mengcheng County First People's Hospital, Mengcheng 233500, Anhui Province, China.
Background: Mediastinal emphysema is a condition in which air enters the mediastinum between the connective tissue spaces within the pleura for a variety of reasons. It can be spontaneous or secondary to chest trauma, esophageal perforation, medically induced factors, Its common symptoms are chest pain, tightness in the chest, and respiratory distress. Most mediastinal emphysema patients have mild symptoms, but severe mediastinal emphysema can cause respiratory and circulatory failure, resulting in serious consequences.
View Article and Find Full Text PDFMultifocal emphysematous osteomyelitis, a do not miss diagnosis for the emergency radiologist: a case report with literature review.
Emerg Radiol
April 2024
Department of Radiology Chan Medical School, University of Massachusetts, UMass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA, 0165, USA.
Emphysematous osteomyelitis (EO) is an uncommon fatal condition with high morbidity and mortality. Simultaneous involvement of the axial and appendicular skeleton with multifocal disease is even rarer, with only a few cases being reported in the literature. We present a case of multifocal emphysematous osteomyelitis in a 56-year-old woman with concurrent emphysematous pyelonephritis complicated by psoas and epidural abscesses.
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