Pneumorrhachis with pneumocranium: an unusual complication of intra-abdominal sepsis.
We present this unusual case of a 60-year-old gentleman who presented with meningism and reduced conscious level. Imaging demonstrated a perforated sigmoid colon with retroperitoneal air associated with pneumorrhachis and pneumocranium. He required a Hartmann's procedure and broad spectrum intra-thecal antibiotics which led to resolution of the pneumorrhachis and pneumocranium.
Amit
Amit
A
Department of Neurosurgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
Toll
Edward C
EC
Siddique
Shahid
S
Nelson
Richard J
RJ
D000714:Anastomosis, Surgical; D004239:Diverticulitis, Colonic / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications; D008297:Male; D008875:Middle Aged; D011007:Pneumocephalus / Q000175:diagnosis / Q000209:etiology*; D003294:Seizures, Febrile / Q000209:etiology; D018805:Sepsis / Q000150:complications*; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000209:etiology*; D016896:Treatment Outcome