EURORAD ESR

Case 3375

A hard day's night -- Pneumorrhachis and pneumomediastinum following violent vomiting

Author(s)
Glynn C, Howells J, Stewart I
 
Patient
male, 22 year(s)
 
 
  • Figure 1
    Lung window settings: extensive pneumomediastinum

    An image showing extensive pneumomediastinum and subcutaneous emphysema. Air is clearly seen within the spinal canal.

     
    Area of Interest: unknown; Imaging Technique: Lung window settings: Extensive pneumomediastinum;
     
     
  • Figure 2
    Lung window settings: Pneumorrhachis

    An image showing pneumorrhachis at a lower level. Pneumomediastinum's again being shown. A subtle left pneumothorax with air in the oblique fissure(also seen on other images, not included is also being shown).

     
    Area of Interest: unknown; Imaging Technique: Lung window settings: Pneumorrhachis;
     
     
  • Figure 3
    Soft tissue settings: Pneumorrhachis

    An image showing the presence of air lying in the right neural exit foramen, depicting the probable site of entry for causing pneumorrhachis, on a background of widespread subcutaneous emphysema.

     
    Area of Interest: unknown; Imaging Technique: Soft Tissue settings: Pneumorrhachis;
     
     
  • Figure 4
    Soft tissue settings: Pneumorrhachis and Pneumomediastinum

    A further image showing the extent of air within the spinal canal. This could easily be overlooked if viewed on soft tissue settings alone.

     
    Area of Interest: unknown; Imaging Technique: Soft Tissue settings: Pneumorrhachis and Pneumomediastinum;
     
     
An image showing extensive pneumomediastinum and subcutaneous emphysema. Air is clearly seen within the spinal canal.
 
An image showing pneumorrhachis at a lower level. Pneumomediastinum's again being shown. A subtle left pneumothorax with air in the oblique fissure(also seen on other images, not included is also being shown).
 
An image showing the presence of air lying in the right neural exit foramen, depicting the probable site of entry for causing pneumorrhachis, on a background of widespread subcutaneous emphysema.
 
A further image showing the extent of air within the spinal canal. This could easily be overlooked if viewed on soft tissue settings alone.
 
 
 
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