Epidurale Pneumatose und spontanes Pneumomediastinum: Differenzialdiagnose zum Boerhaave-Syndrom
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Epidurale Pneumatose und spontanes Pneumomediastinum: Differenzialdiagnose zum Boerhaave-Syndrom. / Larena-Avellaneda, A; Debus, E S; Klein, I; Grasshoff, S; Höcht, B.
In: ZBL CHIR, Vol. 133, No. 1, 02.2008, p. 79-81.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Epidurale Pneumatose und spontanes Pneumomediastinum: Differenzialdiagnose zum Boerhaave-Syndrom
AU - Larena-Avellaneda, A
AU - Debus, E S
AU - Klein, I
AU - Grasshoff, S
AU - Höcht, B
PY - 2008/2
Y1 - 2008/2
N2 - We report on the case of a 15-year-old female who developed a pneumomediastinum after heavy vomiting. A rupture of the esophagus (Boerhaave syndrome) was excluded. In the CT of the chest, air was detected in the mediastinum and in the epidural space (epidural pneumatosis). The patient recovered uneventfully with conservative treatment. Air in the epidural space, associated with spontaneous pneumomediastinum, is an extremely rare condition. The air in the spinal canal arrives by migration through the intervertebral foramina from the posterior mediastinum and neck, where the fascial barrier is missing. Therapy consists of symptomatic, conservative treatment.
AB - We report on the case of a 15-year-old female who developed a pneumomediastinum after heavy vomiting. A rupture of the esophagus (Boerhaave syndrome) was excluded. In the CT of the chest, air was detected in the mediastinum and in the epidural space (epidural pneumatosis). The patient recovered uneventfully with conservative treatment. Air in the epidural space, associated with spontaneous pneumomediastinum, is an extremely rare condition. The air in the spinal canal arrives by migration through the intervertebral foramina from the posterior mediastinum and neck, where the fascial barrier is missing. Therapy consists of symptomatic, conservative treatment.
KW - Adolescent
KW - Anti-Bacterial Agents/therapeutic use
KW - Diagnosis, Differential
KW - Drug Therapy, Combination
KW - Emphysema/etiology
KW - Epidural Space
KW - Esophageal Perforation/diagnostic imaging
KW - Female
KW - Humans
KW - Mediastinal Emphysema/diagnostic imaging
KW - Tomography, X-Ray Computed
KW - Vomiting/complications
U2 - 10.1055/s-2008-1004660
DO - 10.1055/s-2008-1004660
M3 - SCORING: Zeitschriftenaufsatz
C2 - 18278708
VL - 133
SP - 79
EP - 81
JO - ZBL CHIR
JF - ZBL CHIR
SN - 0044-409X
IS - 1
ER -
