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Epidural emphysema associated with primary spontaneous pneumothorax

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 an...

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Published in:European journal of cardio-thoracic surgery 2001-09, Vol.20 (3), p.645-646
Main Authors: Aribas, Olgun Kadir, Gormus, Niyazi, Aydogdu Kiresi, Demet
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description 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.
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subjects Adult
Biological and medical sciences
Emphysema - etiology
Epidural emphysema
Epidural Space
Humans
Male
Mediastinal Emphysema - complications
Mediastinal Emphysema - diagnostic imaging
Medical sciences
Pneumology
Pneumomediastinum
Pneumothorax
Pneumothorax - complications
Pneumothorax - diagnostic imaging
Respiratory system : syndromes and miscellaneous diseases
Spinal Canal - diagnostic imaging
Subcutaneous Emphysema - diagnostic imaging
Subcutaneous Emphysema - etiology
Tomography, X-Ray Computed
title Epidural emphysema associated with primary spontaneous pneumothorax
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