International journal of surgery case reports · 2020
Surgical management of a patient with traumatic tension pneumorachis: A rare case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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AlAieb Abubaker, Mathradikkal Saji, Goel Atirek, Strandvik Gustav, Ellabib Mohammed, Nabir Syed, Mekkodathil Ahammed, Al-Thani Hassan, El-Menyar Ayman
Аннотация
INTRODUCTION: Pneumorachis is a rare underdiagnosed phenomenon in which air enters the spinal canal mostly following injury to the respiratory system.
PRESENTATION OF CASE: 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.
CONCLUSION: Our case suggests that pneumorachis should be considered one of the various causes for sublesional post-traumatic neurological deficits and mortality.
PRESENTATION OF CASE: 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.
CONCLUSION: Our case suggests that pneumorachis should be considered one of the various causes for sublesional post-traumatic neurological deficits and mortality.