Introduction: Pneumocephalus is air or gas located in the intracranial cavity. Head trauma is the most common cause of pneumocephalus, with the majority of cases resulting from sinus and basilar skull fractures. A small number of case reports have been published describing pneumocephalus after cervical and thoracic penetrating injuries. To our knowledge, we report the first case of severe pneum...

A 61-year-old man was referred to the hospital for treatment of a laterally spreading tumor (LST) 4 cm in diameter, which was located in the sigmoid colon 24 cm from the anal verge (Fig. 1). It was decided to treat the tumor using ESD without preprocedural histologic diagnosis because the tumor was granular-type suspicious of adenoma or adenocarcinoma confined to the mucosa. ESD was performed u...

A 41-year-old man with injury of right half of the thorax, fractures of the left crural bones and paralysis of the right upper limb was admitted to our hospital. A CT examination at admission revealed bilateral pulmonary contusion and bilateral fluid- and pneumothorax. In addition pneumomediastinum, pneumopericardium, subcutaneous emphysema and pneumorrhachis at the cervicothoracic transition w...

Spontaneous pneumorrhachis (air in the spinal canal) occurs in the absence of medical procedures, trauma, or free air distributions in other body compartments (such as pneumomediastinum or pneumothorax) [1]. One postulated cause is the migration of air from the disc into the spinal canal and neural foramina [1] and [2]. A 46-year-old man presented with severe, debilitating pain down the right l...

OBJECTIVE We report 2 children with Respiratory Syncytial Virus (RSV) infection complicated with spontaneous pneumopericardium (PP) and pneumomediastinum (PM), one also associated with pneumorrhachis (PR). PATIENTS AND METHODS Two previously healthy children presented with fever, violent dry cough, dyspnea, and tachypnea. Chest X-ray and CT scans showed sizeable PP and PM in both patients. On...

SECTION 1 A 67-year-old man was admitted to the medical intensive care unit at a hospital in eastern Bavaria. The patient presented with back pain, fever (38.7°C, 101.7°F), disorientation regarding time, place, and his own identity, and drowsiness, all of which had developed in recent weeks. Apart from these findings, the neurologic examination was unremarkable. One day before admission, the pa...