A Case of Spontaneous Extracranial Epidural Emphysema
نویسندگان
چکیده
OBJECTIVE To report a rare case of spontaneous extracranial epidural emphysema. CLINICAL PRESENTATION AND INTERVENTION An 18-year-old woman with a recent diagnosis of squamous cell carcinoma of the esophagus presented with acute onset of cough, dyspnea and subcutaneous emphysema. An esophageal endoscopy revealed an ulcerative lesion in the upper third of the esophagus that was diagnosed as squamous cell carcinoma. A computed tomographic scan of the chest showed spinal epidural emphysema in addition to pneumomediastinum and pneumoperitoneum. A few days later, the patient died of aspiration pneumonia and persistent epidural emphysema. CONCLUSION The spontaneous extracranial epidural emphysema in our case resulted from a bout of cough with tracking of air from the pneumomediastinum through the emaciated tissue planes into the epidural space.
منابع مشابه
Spontaneous Spinal Epidural Hematoma in a Patient With a Prosthetic Valve
Spontaneous Spinal Epidural Hematoma (SSEH) is a rare spinal condition. Early surgical intervention is generally indicated to prevent serious permanent neurological deficits. We encountered a case of spontaneous spinal epidural hematomas associated with motor weakness that was treated successfully by surgical evacuation.
متن کاملSubcutaneous Emphysema as a Complication of Tonsillectomy: A Systematic Literature Review and Case Report
Introduction: Subcutaneous and mediastinal emphysema is a rare complication after tonsillectomy. This case presentation and literature review summarizes the existing literature on this unusual complication. Materials and Methods: This study presents a case of a 21-year-old man who developed a cervical subcutaneous emphysema 6 days after tonsillectomy, whereby conservative treatment produced sp...
متن کاملPneumomediastinum Associated with Pneumopericardium and Epidural Pneumatosis
Spontaneous pneumomediastinum is a relatively rare benign condition. It may rarely be associated with one or combination of pneumothorax, epidural pneumatosis, pneumopericardium, or subcutaneous emphysema. We present a unique case with four of the radiological findings in a 9-year-old male child who presented to our emergency department with his parents with complaints of unproductive cough, dy...
متن کاملPneumothorax, pneumomediastinum, subcutaneous emphysema and pneumorrhachis as complications of common flu
BACKGROUND Spontaneous pneumomediastinum is an uncommon benign condition that is occasionally associated with subcutaneous emphysema and occasionally with pneumothorax, but is rarely associated with pneumorrhachis (air within the spinal epidural space). CASE REPORT We describe the case of a 20-year-old man and discuss a classification system of pneumorrhachis and its pathoanatomy, clinical an...
متن کاملEpidural pneumatosis associated with spontaneous pneumomediastinum.
We read with much interest the article by S.J. Willing ( 1) that appeared in AJNR in 1991. The author states that epidural pneumatosis is commonly seen in trauma patients and that since computed tomography (CT) scans are seldom performed in spontaneous pneumomediastinum, a similar case has not been reported in the literature. Yoshimura, et al demonstrated the occurrence of epidural pneumatosis ...
متن کامل