| Autor: |
AlAieb, Abubaker, Mathradikkal, Saji, Goel, Atirek, Strandvik, Gustav, Ellabib, Mohammed, Nabir, Syed, Mekkodathil, Ahammed, Al-Thani, Hassan, El-Menyar, Ayman |
| Zdroj: |
International Journal of Surgery Case Reports; 2020, Vol. 66, p370-373, 4p |
| Abstrakt: |
• This is a rare case of tension pneumorachis associated with neurological deficits following rectal insufflation. • Perforation of the sigmoid colon and serosal tear of the transverse colon were diagnosed by exploratory laparotomy. • Second laparotomy revealed diffused oozing from the left para-colic gutter, sigmoid colon and mesentery of the small bowel. • Resection of the sigmoid by GI staplers was done. • Patient succumbed to his injuries on the second day in the hospital. 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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