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Eur J Cardiothorac Surg 2000;18:123
© 2000 Elsevier Science NL


Images in cardio-thoracic surgery

Spontaneous epidural emphysema and pneumomediastinum

T. Dosios, Anastasia Fytas, G. Zarifis

Athens Medical Center, Athens, Greece.

Received 3 April 2000; accepted 12 April 2000.

Corresponding author. 2 Chatzigianni Mexi Str., 11528 Athens, Greece. Tel: +30-1-724-7000; fax: +-30-1-779-1456 dosiosth{at}internet.gr

A 15-year old boy presented with subcutaneous emphysema after an asthmatic attack. Chest X-ray showed no evidence of pneumothorax. Computed tomography (CT) scan revealed the presence of air into the spinal canal associated with pneumomediastinum (Fig. 1) . The pathway of air from the posterior mediastinum to the epidural space through the right intervertebral foramen was demonstrated. The patient had an uneventful recovery. Repeat CT scanning showed spontaneous resolution of the epidural emphysema.



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Fig. 1. Spontaneous epidural emphysema and pneumomediastinum.

 



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