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2020, Number 1

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Residente 2020; 15 (1)

Neumorraquis as an assertive differential diagnosis for closed abdomen trauma

Araujo-López A, Hernández-García AD, Rodríguez-Cervantes CB, Rodríguez-González N, Olivares-Peraza J, Martínez-Buendía M, Sánchez-Martínez Ó
Full text How to cite this article 10.35366/94040

DOI

DOI: 10.35366/94040
URL: https://dx.doi.org/10.35366/94040

Language: Spanish
References: 7
Page: 27-29
PDF size: 237.38 Kb.


Key words:

Neumorraquis, abdominal blunt trauma, diagnosis.

ABSTRACT

Introduction: The intervertebral pneumatosis is a rare entity, the patient usually does not report any symptoms and is usually an incidental finding in the imaging studies in both magnetic resonance and computed tomography, its location is almost always in cervical tendons frequently associated with trauma or with coexisting degenerative disc disease. Case report: We present the case of a 62-year-old man with abdominal trauma due to a fall of 3 meters, presenting acute abdomen data, however in the CAT no obvious lesion, adequate evolution, only neumorraquis of T11-L2. Discussion: The presence of air in the medullary canal is a rare situation. It is important to recognize that there is no specific treatment, because the disease has been little studied and the origin of the pathology is different, in most cases it does not follow the same pattern, so that it consists of anti-inflammatories, analgesics, supplemental oxygen supply to help sweep the Co2 that is trapped inside the vertebral cavities. Conclusion: The neumorraquis is a rare entity, which if not taken into account, the Computed Axial Tomography is not analyzed completely, it will never reach the diagnosis, for which we propose it as a differential diagnosis that should be considered, avoiding negative laparotomies.


REFERENCES

  1. Kitagawa T, Fujiwara A, Tamai K, Kobayashi N, Saiki K, Omata S et al. Enlarging vertebral body pneumatocysts in the cervical spine. AJNR Am J Neuroradiol. 2004; 24 (8): 1707-1710.

  2. Yamamoto T, Yoshiya S, Kurosaka M. Natural course of an intraosseous pneumatocyst of the cervical spine. AJR Am J Roentgenol. 2002; 22 (7): 1055-1961.

  3. Abdrabou A. Vertebral pneumatocyst. Revista de Radio-Pedia. 2019; 10 (1): 102-105.

  4. Salas SD. Caso 3-2015: masculino 19 años con neumorraquis post-traumático. Revista Clínica de la Escuela de Medicina UCR-HSJD/Costa Rica. 2015; 5 (1): 1-3.

  5. Newbold RG, Wiener MD, Vogler JB, Martinez S. Traumatic pneumorrhachis. American Roentgen Ray/EU. 2016; 7 (1): 201-208.

  6. Goh BK, Yeo AW. Traumatic pneumorrhachis. J Trauma. 2005; 58 (8): 875-879.

  7. Oertel M, Korinth M, Reinges M, Krings T, Terbeck S, Gilsbac J. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J. 2006; 15 (1): 636-643.




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Residente. 2020;15