Surgical management of a patient with traumatic tension pneumorachis: A rare case report.
Case report
Neurologic deficit
Pneumorachis
Rectal injury
Trauma
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
16
09
2019
revised:
15
12
2019
accepted:
22
12
2019
pubmed:
14
1
2020
medline:
14
1
2020
entrez:
14
1
2020
Statut:
ppublish
Résumé
Pneumorachis is a rare underdiagnosed phenomenon in which air enters the spinal canal mostly following injury to the respiratory system. We presented a rare case of pneumorachis associated with neurological deficits following traumatic compressed air insufflation to the rectum. A 44-year-old, male, construction laborer presented to the accident and emergency department with a history of insufflation by compressed air through his rectum, as a prank by his workmates. Imaging studies revealed pneumoperitoneum and the exploratory laparotomy showed perforation of the sigmoid colon as well as a serosal tear of the transverse colon. Resection of the sigmoid by GI staplers was done. The patient remained unwell even after surgical management and massive transfusion and eventually succumbed to his injuries on the second day in the hospital. Our case suggests that pneumorachis should be considered one of the various causes for sublesional post-traumatic neurological deficits and mortality.
Identifiants
pubmed: 31931452
pii: S2210-2612(20)30002-X
doi: 10.1016/j.ijscr.2019.12.035
pmc: PMC6957878
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
370-373Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.
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