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Pneumorrhachis with pneumocranium: an unusual complication of intra-abdominal sepsis
Amit Amit1, Edward C Toll, Shahid Siddique
1Department of Neurosurgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
Abstract:
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.
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