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An Unusual Case of Pneumorrhachis Following Resection of Lung Carcinoma*

Ross L. Ristagno, MD, FCCP; Loren F. Hiratzka, MD, FCCP; Raymond C. Rost, Jr, MD
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*From the Department of Pulmonary Medicine (Dr. Ristagno), and the Department of Diagnostic Radiology (Dr. Rost), The Christ Hospital, Cincinnati, OH; and the Department of Cardiac Surgery (Dr. Hiratzka), TriHealth, Cincinnati, OH.

Correspondence to: Ross L. Ristagno, MD, FCCP, 7960 Greylock Dr, Cincinnati, OH 45243; e-mail: rristagno@cinci.rr.com



Chest. 2002;121(5):1712-1714. doi:10.1378/chest.121.5.1712
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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.

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