Rare case of spontaneous simultaneous extensive subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum and pneumorrhachis

Ng, Chia Huan; Walwyn, Thomas; Gibson, Craig; Gottardo, Nicholas G.

doi:10.1136/archdischild-2020-319189

Cited by 1 publication

(2 citation statements)

References 3 publications

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“…1,2 It is a rare and often overlooked imaging finding, 3 particularly in children. 4 Mycoplasma pneumonia in children manifests as a paroxysmal cough. However, severe cough complicated by spontaneous pneumorrhachis is rare.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema in a patient with pneumonia: A case report and literature review

Zhuang

Zou

Huang

et al. 2023

Pediatric Pulmonology

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Background Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by acute pneumonia are rarely observed in clinical practice. Case Presentation Herein, we report a case of a 12‐year‐old boy with spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by a severe cough due to mycoplasma pneumonia. This patient neither received invasive or noninvasive ventilator treatment nor surgical treatment before the onset of the disease. After treatment, the patient recovered smoothly and was discharged from the hospital. Literature Review We reviewed all cases of spontaneous pneumorrhachis in children and adolescents between 1988 and 2022 in the PubMed database. Twenty‐seven cases met our inclusion criteria, and the data on demographic information, triggers, comorbidities, symptoms, imaging findings, treatment, and prognosis were extracted and analyzed. Conclusion Although spontaneous pneumorrhachis is a rare condition, it has been reported in children. Computed tomography scanning is the gold standard for its detection. Spontaneous pneumorrhachis is typically a benign disease. This condition usually does not require any special treatment and should be monitored as common types of air leaks, such as pneumothorax and pneumomediastinum.

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Section: Introductionmentioning

confidence: 99%

“…Pneumorrhachis is the presence of air in the epidural or intradural space 1,2 . It is a rare and often overlooked imaging finding, 3 particularly in children 4 . Mycoplasma pneumonia in children manifests as a paroxysmal cough.…”

Section: Introductionmentioning

confidence: 99%