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Pneumocephalus and Pneumorrhachis Following Titanium Rib Implant: A Case Report and Literature Review.
Curr Med Imaging
January 2025
Consultant in Emergency Medicine, WIC Clinic, Primary Health Care Corporation, Doha, Qatar.
Introduction: Pneumocephalus and pneumorrhachis are rare postoperative complications, commonly occurring within a few days to months after spinal surgery. They are very rarely reported after thoracic surgeries. This case highlights a unique presentation in the emergency department involving headache and vomiting caused by late complications following thoracic surgery with a titanium rib implant.
View Article and Find Full Text PDFHamman Syndrome: A Case Report of Interlobar Pneumothorax, Pneumopericardium, and Pneumorrhachis.
Cureus
November 2024
Department of Radiology, Unidade Local de Saúde de São João, Porto, PRT.
Article Synopsis
- Hamman syndrome is a rare, benign condition marked by air in the mediastinum without an external cause, usually affecting young adults and linked to activities that raise intrathoracic pressure, like coughing or asthma attacks.* -
- An 18-year-old male asthmatic patient experienced shortness of breath, chest pain, and subcutaneous emphysema, leading to imaging that revealed pneumomediastinum and other related issues.* -
- Treatment involved supplemental oxygen and pain relief, with symptoms improving and imaging showing resolution of pneumomediastinum within four days, highlighting the importance of accurate diagnosis through imaging to distinguish it from serious conditions.*
A Case of Pneumomediastinum and Pneumorrhachis in a Patient With Multiple Risk Factors.
Cureus
September 2024
Internal Medicine, Cape Fear Valley Health, Fayetteville, USA.
Pneumomediastinum is the presence of gas (usually air) in the mediastinum, which is rare and typically benign. Pneumomediastinum is classified into primary and secondary based on etiology. Its pathophysiology is due to high intra-alveolar pressures causing alveolar rupture, which releases air that travels along bronchoalveolar sheaths into the mediastinum.
View Article and Find Full Text PDFSymptomatic Pneumorrhachis from Bronchial-Subarachnoid Fistula.
Diagnostics (Basel)
September 2024
Department of Radiology, Mayo Clinic, Phoenix, AZ 85054, USA.
Bronchial-subarachnoid fistulas are rare occurrences, which are not well defined in the literature. This uncommon clinical phenomenon may result in symptomatic pneumorrhachis and presents unique clinical challenges. This report details a case of a 53-year-old female whose treatment for recurrent chondrosarcoma of the thoracic spine included multiple surgeries and radiotherapy.
View Article and Find Full Text PDFWhole 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
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