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European Journal of Cardio-thoracic Surgery 20 (2001) 645±646
www.elsevier.com/locate/ejcts
Case report
Epidural emphysema associated with primary spontaneous pneumothorax
Olgun Kadir Aribas a,*, Niyazi Gormus b, Demet Aydogdu Kiresi c a b
Department of Thoracic Surgery, School of Medicine, University of Selcuk, Konya, Turkey
Department of Cardiovascular Surgery, School of Medicine, University of Selcuk, Konya, Turkey c Department of Radiology, School of Medicine, University of Selcuk, Konya, Turkey
Received 22 February 2001; received in revised form 31 May 2001; accepted 4 June 2001
Abstract
A 21-year-old male patient was admitted with spontaneous pneumothorax, and no history of asthma. Closed drainage treatment was unsuccessful. Chest computed tomography demonstrated pneumomediastinum and subcutaneous emphysema with multiple air bubbles within the spinal canal between the levels Th3 and Th11. Resection of bullae on the upper lobe and partial pleurectomy were performed.
Postoperative period was uneventful. Epidural emphysema was resolved spontaneously without neurologic symptoms and signs. Intraspinal air, or pneumorachis, associated with spontaneous pneumothorax and pneumomediastinum is an extremely rare condition. We discussed spontaneous pneumothorax and pneumomediastinum as well as epidural pneumatosis and reviewed reported cases in the literature. q 2001
Elsevier Science B.V. All rights reserved.
Keywords: Epidural emphysema; Pneumomediastinum; Pneumothorax
1. Introduction
Epidural emphysema with pneumomediastinum is rare
[1,2], and with pneumotorax is extremely rare [3]. There are only sporadic cases reported in the literature on this condition. Therefore, we would like to report a case with epidural emphysema which was diagnosed with chest computed tomography (CT) and review the data reported in the literature.
2. Case
A 21-year-old male patient was admitted to our hospital who complained of a sudden onset of a
www.elsevier.com/locate/ejcts
Case report
Epidural emphysema associated with primary spontaneous pneumothorax
Olgun Kadir Aribas a,*, Niyazi Gormus b, Demet Aydogdu Kiresi c a b
Department of Thoracic Surgery, School of Medicine, University of Selcuk, Konya, Turkey
Department of Cardiovascular Surgery, School of Medicine, University of Selcuk, Konya, Turkey c Department of Radiology, School of Medicine, University of Selcuk, Konya, Turkey
Received 22 February 2001; received in revised form 31 May 2001; accepted 4 June 2001
Abstract
A 21-year-old male patient was admitted with spontaneous pneumothorax, and no history of asthma. Closed drainage treatment was unsuccessful. Chest computed tomography demonstrated pneumomediastinum and subcutaneous emphysema with multiple air bubbles within the spinal canal between the levels Th3 and Th11. Resection of bullae on the upper lobe and partial pleurectomy were performed.
Postoperative period was uneventful. Epidural emphysema was resolved spontaneously without neurologic symptoms and signs. Intraspinal air, or pneumorachis, associated with spontaneous pneumothorax and pneumomediastinum is an extremely rare condition. We discussed spontaneous pneumothorax and pneumomediastinum as well as epidural pneumatosis and reviewed reported cases in the literature. q 2001
Elsevier Science B.V. All rights reserved.
Keywords: Epidural emphysema; Pneumomediastinum; Pneumothorax
1. Introduction
Epidural emphysema with pneumomediastinum is rare
[1,2], and with pneumotorax is extremely rare [3]. There are only sporadic cases reported in the literature on this condition. Therefore, we would like to report a case with epidural emphysema which was diagnosed with chest computed tomography (CT) and review the data reported in the literature.
2. Case
A 21-year-old male patient was admitted to our hospital who complained of a sudden onset of a