Titre
Post-traumatic venous and systemic air embolism associated with spinal epidural emphysema: multi-slice computed tomography diagnosis.
Type
étude de cas
Institution
Externe
Périodique
Auteur(s)
Dedouit, F.
Auteure/Auteur
Otal, P.
Auteure/Auteur
Loubes-Lacroix, F.
Auteure/Auteur
Rousseau, H.
Auteure/Auteur
Costagliola, R.
Auteure/Auteur
Telmon, N.
Auteure/Auteur
Joffre, F.
Auteure/Auteur
Rouge, D.
Auteure/Auteur
Liens vers les personnes
ISSN
0379-0738
Statut éditorial
Publié
Date de publication
2006
Volume
158
Numéro
2-3
Première page
190
Dernière page/numéro d’article
194
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
A 30-year-old man was admitted with chest trauma after a road traffic accident. The patient was paraplegic and suffered from transient monoparesia of the left arm. The chest X-ray revealed a severe right tension pneumothorax and thoracic spine fractures. Emergency right thoracic drainage was carried out followed by angiography. Unfortunately the patient died and an autopsy was not permitted. Consequently post-mortem multi-slice computed tomography (MSCT) was performed, revealing presence of air inside the right cerebral arteries, bilateral pneumothorax accompanied by a severe right tension pneumothorax, bilateral haematic pleural effusion, pneumomediastinum and bilateral lung contusions. Air was also observed within the right coronary artery, ascending aorta and right ventricle. Thoracic and cervical spinal epidural emphysema were diagnosed. Venous air embolism followed by arterial air embolism producing paradoxical embolism was diagnosed. To the best of our knowledge, this is the first case illustrating by post-mortem MSCT such simultaneous complications after chest trauma as spinal epidural emphysema and cerebral and coronary air embolism.
Sujets
PID Serval
serval:BIB_5F047C104C00
PMID
Date de création
2016-01-12T08:45:37.190Z
Date de création dans IRIS
2025-05-20T20:25:56Z