Epidural abscess resulting from traumatic esophageal rupture secondary to a flexion-extension injury
Emergency Radiology(1994)
摘要
An epidural abscess developed several weeks after a traumatic esophageal rupture secondary to a reported flexion-extension
injury in a restrained back seat passenger in a motor vehicle accident. Chest radiograph and an Indium study suggested the
possibility of a posterior mediastinal abscess. Chest computed tomography (CT) also noted epidural abscess and osteomyelitis,
which were confirmed by magnetic resonance imaging (MRI). Diagnosis was delayed significantly by underinterpretation of both
chest and CT findings. Obvious positive findings (lower lobe infiltrate on chest radiograph and posterior mediastinal abscess
on CT) were noted, but more subtle and very important findings of superior mediastinal widening and extra pulmonary gas bubbles
on the chest radiograph and extradural disease displacing the spinal cord on CT were not described. We can find no previously
reported case of esophageal rupture associated with flexion-extension injury of the neck. It is also extremely rare for esophageal
rupture to remain asymptomatic for more than several hours.
更多查看译文
关键词
Epidural abscess,Spine,Esophagus,Trauma,Osteomyelitis,Whiplash,Flexion-extension injury
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要