Intraspinal air, a rare complication of blunt chest trauma |
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| Authors: | Harandou M Khatouf M Kanjaa N Adnet F Lapostolle F |
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| Institution: | 1. Service de réanimation polyvalente, hôpital Al-Ghassani, Fès, Maroc,;2. Samu 93, EA 3409, hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny cedex, France;1. Clinique du Val d’Or, 16, rue Pasteur, 92210 Saint-Cloud, France;2. Hôpital privé Claude-Galien, 91480 Quincy-Sous-Sénart, France;3. Centre hospitalier Sud-Essonne, 26, avenue Charles-de-Gaulle, 91150 Étampes, France;1. Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt;2. Cardiology Department, Tanta University, Tanta, Egypt;1. Department of Emergency Medicine, Toros Training and Research Hospital, Mersin;2. Department of Emergency Medicine, Istanbul Training and Research Hospital, Istanbul;1. Service de chirurgie thoracique, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris France;2. Service de chirurgie thoracique, centre médico-chirurgical du Cèdre, 76230 Bois-Guillaume, France |
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| Abstract: | Pneumorachis, defined as the presence of air within the spinal canal, has rarely been described, and is exceptionally due to thoracic trauma. We report the case of a 37-year-old patient who sustained a motor vehicle accident. The chest CT-scan showed a bilateral-hemothorax, a small right pneumothorax, rib fractures, and a fracture of the fourth thoracic vertebra associated with air in the spinal canal extending from T6 to L2. The fracture of T4 associated with the pleural lesion is probably responsible for the pneumorachis. Possible pathogenic mechanisms of this rare blunt chest complication are discussed. |
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