A case of spontaneous extracranial epidural emphysema

Sankalp Gokhale, Sanjay Gokhale

Research output: Contribution to journalArticle

Abstract

Objective: To report a rare case of spontaneous extracranial epidural emphysema. Clinical Presentation and Intervention: An 18-year-old woman with a recent diagnosis of squamous cell carcinoma of the esophagus presented with acute onset of cough, dyspnea and subcutaneous emphysema. An esophageal endoscopy revealed an ulcerative lesion in the upper third of the esophagus that was diagnosed as squamous cell carcinoma. A computed tomographic scan of the chest showed spinal epidural emphysema in addition to pneumomediastinum and pneumoperitoneum. A few days later, the patient died of aspiration pneumonia and persistent epidural emphysema. Conclusion: The spontaneous extracranial epidural emphysema in our case resulted from a bout of cough with tracking of air from the pneumomediastinum through the emaciated tissue planes into the epidural space.

Original languageEnglish (US)
Pages (from-to)177-179
Number of pages3
JournalMedical Principles and Practice
Volume23
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Emphysema
Mediastinal Emphysema
Cough
Esophagus
Squamous Cell Carcinoma
Subcutaneous Emphysema
Epidural Space
Aspiration Pneumonia
Pneumoperitoneum
Dyspnea
Endoscopy
Thorax
Air

Keywords

  • Epidural emphysema
  • Spontaneous extracranial epidural emphysema
  • Subcutaneous emphysema

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A case of spontaneous extracranial epidural emphysema. / Gokhale, Sankalp; Gokhale, Sanjay.

In: Medical Principles and Practice, Vol. 23, No. 2, 2014, p. 177-179.

Research output: Contribution to journalArticle

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