Epidural pneumatosis and spontaneous pneumomediastinum:: Differential diagnosis with respect to the Boerhaave syndrome

被引：5

作者：

Larena-Avellaneda, A. ^{[1
]}

Debus, E. S. ^{[1
]}

Klein, I. ^{[1
]}

Grasshoff, S. ^{[2
]}

Hoecht, B. ^{[2
]}

机构：

[1] Univ Klin Wurzburg, Chirurg Klin & Poliklin 1, D-97080 Wurzburg, Germany

[2] Univ Klin Wurzburg, Chirurg Klin & Poliklin 1, Abt Kinderchirurg, D-97080 Wurzburg, Germany

来源：

ZENTRALBLATT FUR CHIRURGIE | 2008年 / 133卷 / 01期

关键词：

epidural pneumatosis; Boerhaave syndrome; spontaneous pneumomediastinum; chest pain; heavy vomiting;

D O I：

10.1055/s-2008-1004660

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report on the case of a 15-year-old female who developed a pneumomediastinum after heavy vomiting. A rupture of the esophagus (Boerhaave syndrome) was excluded. In the CT of the chest, air was detected in the mediastinum and in the epidural space (epidural pneumatosis). The patient recovered uneventfully with conservative treatment. Air in the epidural space, associated with spontaneous pneumomediastinum, is an extremely rare condition. The air in the spinal canal arrives by migration through the intervertebral foramina from the posterior mediastinum and neck, where the fascial barrier is missing. Therapy consists of symptomatic, conservative treatment.

引用

页码：79 / 81

页数：3

共 18 条

[1] Epidural emphysema associated with primary spontaneous pneumothorax [J].

Aribas, OK ;

Gormus, N ;

Kiresi, DA .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2001, 20 (03) :645-646

[2] Pneumomediastinum and epidural pneumatosis after inhalation of "Ecstasy" [J].

Bernaerts, A ;

Verniest, T ;

Vanhoenacker, F ;

Van den Brande, P ;

Petré, C ;

De Schepper, AM .

EUROPEAN RADIOLOGY, 2003, 13 (03) :642-643

[3] Esophageal perforation: Comparison of use of aqueous and barium-containing contrast media [J].

Buecker, A ;

Wein, BB ;

Neuerburg, JM ;

Guenther, RW .

RADIOLOGY, 1997, 202 (03) :683-686

[4] EPIDURAL PNEUMATOSIS - A BENIGN COMPLICATION OF BENIGN PNEUMOMEDIASTINUM [J].

DEFOUILLOY, C ;

GALY, C ;

LOBJOIE, E ;

STRUNSKI, V ;

OSSART, M .

EUROPEAN RESPIRATORY JOURNAL, 1995, 8 (10) :1806-1807

[5]

Dekel B, 1996, EUR J PEDIATR, V155, P695

[6] Nonoperative treatment of 15 benign esophageal perforations with self-expandable covered metal stents [J].

Fischer, A ;

Thomusch, O ;

Benz, S ;

von Dobschuetz, E ;

Baier, P ;

Hopt, UT .

ANNALS OF THORACIC SURGERY, 2006, 81 (02) :467-473

[7] Spontaneous pneumomediastinum: A rare benign entity [J].

Gerazounis, M ;

Athanassiadi, K ;

Kalantzi, N ;

Moustardas, M .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2003, 126 (03) :774-776

[8] Barium sulfate: A new [old] contrast agent for diagnosis of postoperative esophageal leaks [J].

Gollub, MJ ;

Bains, MS .

RADIOLOGY, 1997, 202 (02) :360-362

[9] Pneumorachis and pneumomediastinum caused by repeated Muller's maneuvers: Complications of marijuana smoking [J].

Hazouard, E ;

Koninck, JC ;

Attucci, S ;

Fauchier-Rolland, F ;

Brunereau, L ;

Diot, P .

ANNALS OF EMERGENCY MEDICINE, 2001, 38 (06) :694-697

[10] Epidural pneumatosis associated with spontaneous pneumomediastinum: Case report and review of the literature [J].

Koelliker, PD ;

Brannam, LA .

JOURNAL OF EMERGENCY MEDICINE, 1999, 17 (02) :247-250

← 1 2 →