Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Gynecological Surgery
  •  Obstetrics Surgery
  •  Endocrine Surgery
  •  Oral and Maxillofacial Surgery
  •  Urology
  •  Vascular Surgery
  •  Bariatric Surgery
  •  Minimally Invasive Surgery


Citation: Clin Surg. 2019;4(1):2404.Case Report | Open Access

Hemopneumothorax Associated with Pneumorrhachis Following Blunt Chest Trauma: A Case Report

Putu Eka Mardhika, Tjokorda GB Mahadewa and Citra Aryanti

Department of Neurosurgery, Udayana University, Indonesia
Department of Surgery, Udayana University, Indonesia

*Correspondance to: Putu Eka Mardhika 

 PDF  Full Text DOI: 10.25107/2474-1647.2404


Introduction: Pneumorrhachis is a condition that marked by presence of air in spinal canal. We present a rare case of pneumorrhachis of the cervical to thoracic canal associated with hemopneumothorax and flail chest with subcutaneous emphysema that recovered remarkably after shaft clipping surgery and chest tube insertion only. Pneumorrhachis can resolve by itself with conservative management. Case
Presentation: A 45-year-old woman suffered from chest pain and shortness of breath after fell at the hotel swimming pool. Further examination revealed rhonchi on left lung auscultation and asymmetry respiratory pattern. Computed tomography of the chest proved the presence of multiple rib fractures 4-9 left side, hemopneumothorax, subcutaneous emphysema. Accidentally, the CT showed intra spinal gas representing pneumorrhachis extending from C6-T3. No neurologic deficit was found. She was treated conservative by supplemental oxygen only, no further neurological deterioration was detected. Follow up examination was uneventful and the symptoms resolved completely.
Conclusion: Pneumorrhachis was mostly found accidentally with variety of underlying disease, especially in the case traumatic pneumothorax and fracture of skull base. Pneumorrhachis was managed conservatively and should be taken in attention in the presence of neurologic deficits.


Ribs fracture; Pneumothorax; Pneumorrhachis

Cite the article

Mardhika PE, Mahadewa TGB, Aryanti C. Hemopneumothorax Associated with Pneumorrhachis Following Blunt Chest Trauma: A Case Report. Clin Surg. 2019; 4: 2404.

Search Our Journal

Journal Indexed In

Articles in PubMed

Risk Factors for Visual Impairment in an Uninsured Population and the Impact of the Affordable Care Act
 PubMed  PMC  PDF  Full Text
Mesh Sprayer Device with Liquefied Mesh Delivery System: Proposed Alternative for Currently Available Meshes in Hernia Repair and Supplement to Abdominal Closure
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Association of Methylation of RASSF1A between Breast Cancer and Benign Breast Lesions: A Meta-Analysis
 Abstract  PDF  Full Text
Use of a Statewide Trauma Image Repository Decreases the Rate of Unnecessary Transfers to a Level 1 Trauma Center
 Abstract  PDF  Full Text
View More...