An unusual case of pneumorrhachis following resection of lung carcinoma

Chest. 2002 May;121(5):1712-4. doi: 10.1378/chest.121.5.1712.


We report an unusual case of a patient with a bronchopleural-subcutaneous fistula that occurred 3 years following a lobectomy and en bloc chest wall resection for carcinoma. Following a sudden resolution of subcutaneous emphysema, an epidural air collection developed. Spontaneous pneumorrhachis is a previously unreported late complication after surgical or radiation therapy for lung carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Air*
  • Bronchial Fistula / etiology
  • Chest Tubes
  • Cutaneous Fistula / etiology
  • Epidural Space*
  • Humans
  • Lung Neoplasms / surgery*
  • Male
  • Mediastinal Emphysema / etiology*
  • Middle Aged
  • Pleural Diseases / etiology
  • Pneumonectomy / adverse effects*
  • Respiratory Tract Fistula / etiology*
  • Ribs / surgery
  • Subcutaneous Emphysema / etiology*
  • Surgical Flaps
  • Thoracic Surgical Procedures