EURORAD ESR

Case 11098

Man with pneumorrhachis due to rupture of oesophagus after motor vehicle accident

Author(s)
Rafailidis Vasileios1, Apostolopoulou Foteini2, Arvaniti Mairi2

1) General Hospital of Katerini,
6 km Katerini-Arona
60100, Katerini, Greece;
Vizyis Vyzantos 24
54636 Thessaloniki, Greece;
Email:billraf@hotmail.com
2) "Gennimatas" General Hospital of Thessaloniki,
Department of Radiology,
41, Ethnikis Aminis Street,
54635, Thessaloniki, Greece.
 
Patient
male, 42 year(s)
 
 
  • Figure 1
    Cervical spine CT
     

    Three of the lower images of the otherwise normal CT examination of the cervical spine, which show the free air in the epidural space and in the paraspinal soft tissues.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Three of the lower images of the otherwise normal CT examination of the cervical spine, which show the free air in the epidural space and in the paraspinal soft tissues.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Three of the lower images of the otherwise normal CT examination of the cervical spine, which show the free air in the epidural space and in the paraspinal soft tissues.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Chest CT
     

    Chest CT image showing the free air in the epidural space and in the paraspinal soft tissues.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Acute;

    Chest CT image showing the free air in the epidural space and in the paraspinal soft tissues.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Acute;

    Chest CT image showing that there was also a fracture in the 5th right rib which seemed to be internally displaced.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Acute;
     
     
  • Figure 3
    Chest CT
     

    Chest CT slices which show the presence of free air in the paraspinal soft tissues in the level of C7 to T7 vertebrae.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Chest CT slices which show the presence of free air in the paraspinal soft tissues in the level of C7 to T7 vertebrae.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    Chest CT with gastrografin
     

    Transverse image of the chest CT after the administration of gastrografin per os. Free air is seen next to the irregular wall of the oesophagus where the small oesophageal tear was considered to be.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Contrast agent-oral; Special Focus: Acute;

    Transverse image of the chest CT after the administration of gastrografin per os. Free air is seen next to the irregular wall of the oesophagus where the small oesophageal tear was considered to be.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Contrast agent-oral; Special Focus: Acute;

    Coronal image (MPR) of the chest CT after the administration of gastrografin per os. Free air is seen next to the irregular wall of the oesophagus where the small oesophageal tear was considered to be.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Contrast agent-oral; Special Focus: Acute;
     
     
Three of the lower images of the otherwise normal CT examination of the cervical spine, which show the free air in the epidural space and in the paraspinal soft tissues.
 
Three of the lower images of the otherwise normal CT examination of the cervical spine, which show the free air in the epidural space and in the paraspinal soft tissues.
 
Three of the lower images of the otherwise normal CT examination of the cervical spine, which show the free air in the epidural space and in the paraspinal soft tissues.
 
Chest CT image showing the free air in the epidural space and in the paraspinal soft tissues.
 
Chest CT image showing the free air in the epidural space and in the paraspinal soft tissues.
 
Chest CT image showing that there was also a fracture in the 5th right rib which seemed to be internally displaced.
 
Chest CT slices which show the presence of free air in the paraspinal soft tissues in the level of C7 to T7 vertebrae.
 
Chest CT slices which show the presence of free air in the paraspinal soft tissues in the level of C7 to T7 vertebrae.
 
Transverse image of the chest CT after the administration of gastrografin per os. Free air is seen next to the irregular wall of the oesophagus where the small oesophageal tear was considered to be.
 
Transverse image of the chest CT after the administration of gastrografin per os. Free air is seen next to the irregular wall of the oesophagus where the small oesophageal tear was considered to be.
 
Coronal image (MPR) of the chest CT after the administration of gastrografin per os. Free air is seen next to the irregular wall of the oesophagus where the small oesophageal tear was considered to be.
 
 
 
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