We report an unusual case of a patient with a bronchopleural-subcutaneous fistula that occurred 3 years following a lobectomy and en bloc chest wall resection for carcinoma. Following a sudden resolution of subcutaneous emphysema, an epidural air collection developed. Spontaneous pneumorrhachis is a previously unreported late complication after surgical or radiation therapy for lung carcinoma.

We report the case of an 80-year-old man who developed a colocutaneous fistula as a complication of anastomotic leakage following segmental colonic resection. The patient presented with an abscess of the abdominal wall, subcutaneous emphysema, pneumomediastinum, pneumothorax, pneumorrhachis, and pneumoscrotum. We discuss the possible mechanisms for these unusual clinical presentations of extrap...

Pneumorrhachis is a rare entity, where air pockets are found in the spinal canal and etiology can be categorized into traumatic non-traumatic, latter further spontaneous, iatrogenic, associated with infections. Infective causes often gas-forming organisms significant morbidity mortality. Often diagnosis not suspected until imaging done. We report case of 57-year-old man who presented fever, bac...

A previously healthy, 21-year-old female nonsmoker sought emergency room treatment complaining of recent and progressive swelling of the face, neck, and chest (Figure 1). The patient reported no pain, dyspnea, or dysphagia at admission. She reported a brief history of odynophagia in the previous week, when, during an episode of cough, she felt intense (dissecting) retrosternal pain, which subsi...

pneumorrhachis (pr), which involves the entrapment of air or gas within the spinal canal, is a rare clinical entity. the pathogenesis and etiology of this uncommon entity vary and may present a diagnostic challenge. air in the spinal canal can be divided into primary and secondary pr, extra- or intradural pr and etiologically classified as iatrogenic, traumatic and non-traumatic. pr is typicall...

Pneumocephalus and pneumorrhachis are related to transgression of the barriers to the central nervous system. We present a patient with a Pancoast tumor treated with palliative chemoradiation who developed symptomatic spinal and intracranial air caused by spontaneous bronchopleurodurosubarachnoid fistula secondary to direct tumor invasion into the thecal sac.