Pseudo-pneumoretroperitoneum secondary to lumbar emphysema: CT demonstration in two cases.
Several conditions may simulate the radiolucent appearances of pneumoretroperitoneum at plain film. These include gas shadows in locations other than the retroperitoneal space or fluid within the retroperitoneal compartments. Two cases of emphysema within the soft tissues of the back mimicking pneumoretroperitoneum on plain radiographs are described. One case was secondary to epidural anesthesia and another to trauma. In both, computed tomography (CT) led to the correct diagnosis. The possible pitfalls in the differential diagnosis of retroperitoneal gas are described with emphasis of the diagnostic role of CT.
Catalano
O
O
Department of Radiological Sciences, University Federico II, Naples, Italy.
Grassi
R
R
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects; D001415:Back / Q000000981:diagnostic imaging; D019567:Back Injuries; D001416:Back Pain / Q000209:etiology; D003937:Diagnosis, Differential; D004646:Emphysema / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D012188:Retropneumoperitoneum / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed