Amit Amit, Toll Edward C, Siddique Shahid, Nelson Richard J
Department of Neurosurgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
Br J Neurosurg. 2011 Feb;25(1):111-2. doi: 10.3109/02688697.2010.500420. Epub 2010 Aug 13.
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.
我们报告了一例不同寻常的病例，患者为一名60岁男性，表现为脑膜刺激征和意识水平下降。影像学检查显示乙状结肠穿孔，伴有腹膜后积气，并与脊髓积气和颅内积气相关。他需要进行哈特曼手术及鞘内使用广谱抗生素，这使得脊髓积气和颅内积气得以消退。
