Spontaneous pneumorrhachis
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Updated: May 12, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Patrick L Carolan1, Sonia L Wright, Vaishali Jha
1Pediatric Emergency Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN 55404, USA. patrick.carolan@childrensmn.org
Abstract:
Pneumomediastinum is a relatively uncommon occurrence in pediatric patients. After mediastinal air leak, air may dissect through a variety of tissue planes within the chest, neck, and abdomen. We report the case of a 16-year-old adolescent boy who presented with spontaneous pneumomediastinum accompanied by the presence of air within the spinal canal. We suggest use of the term "spontaneous pneumorrhachis" to distinguish this type of presentation from other potential causes.
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