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Epidural pneumatosis associated with pneumomediastinum occurring at rest.
- Source :
-
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia [Ann Thorac Cardiovasc Surg] 2009 Feb; Vol. 15 (1), pp. 38-41. - Publication Year :
- 2009
-
Abstract
- We report a rare case of epidural pneumatosis associated with pneumomediastinum that occurred at rest. A 17-year-old male had spontaneously felt shortness of breath while attending class during the day. Chest and neck CT revealed interstitial free air collection along the right pulmonary vascular sheath. It was speculated that some cough or strain-induced increase in intra-alveolar pressure in the alveoli along the right upper lobe caused free air leaks from the ruptured alveoli, which accumulated along the bronchovascular tissue sheath and moved into the mediastinum and subcutaneous area, especially in the right neck, right anterior chest wall, and right axillary region. CT also demonstrated subcutaneous emphysema extended into the epidural space through the intervertebral foramen. He exhibited a benign self-limited course.
- Subjects :
- Adolescent
Anti-Bacterial Agents therapeutic use
Dyspnea etiology
Epidural Space
Humans
Male
Mediastinal Emphysema diagnostic imaging
Mediastinal Emphysema therapy
Oxygen Inhalation Therapy
Subcutaneous Emphysema diagnostic imaging
Subcutaneous Emphysema therapy
Tomography, X-Ray Computed
Treatment Outcome
Mediastinal Emphysema complications
Subcutaneous Emphysema etiology
Subjects
Details
- Language :
- English
- ISSN :
- 2186-1005
- Volume :
- 15
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
- Publication Type :
- Academic Journal
- Accession number :
- 19262448