case_images: PMC8661299_01
case_images: Chest radiograph on admission demonstrating subcutaneous emphysema (red arrow) and pneumomediastinum (blue arrow).
case_images: SAJR-25-2255-g001.jpg
case_images: PMC8661299_01_SAJR-25-2255-g001.jpg
case_images: F0001
case_images: A chest radiograph (Figure 1) demonstrated pneumomediastinum and subcutaneous emphysema.
case_images: (a and b) Axial post contrast (CT) scan, soft tissue and lung settings, respectively, demonstrating subcutaneous emphysema (red arrow), pneumomediastinum (blue arrow) and epidural emphysema (green arrow).
case_images: SAJR-25-2255-g002.jpg
case_images: PMC8661299_01_SAJR-25-2255-g002.jpg
case_images: F0002
case_images: For improved delineation of the extent of the spontaneous pneumomediastinum (SPM), an urgent CT scan of the chest (Figure 2a and 2b) was performed.
case_images: (a and b) Sagittal reconstructed image through the thoracic spine and axial image at level of carina, lung settings, demonstrating epidural emphysema (green arrow).
case_images: SAJR-25-2255-g003.jpg
case_images: PMC8661299_01_SAJR-25-2255-g003.jpg
case_images: F0003
case_images: Air tracking into the posterior epidural space (pneumorrhachis) at multiple levels of the cervical and thoracic spinal canal was also observed (Figure 3a and b).
case_images: (a, b and c) Contrast swallow of the cervical and thoracic oesophagus excluded oesophageal perforation.
case_images: SAJR-25-2255-g004.jpg
case_images: PMC8661299_01_SAJR-25-2255-g004.jpg
case_images: F0004
case_images: A water-soluble contrast swallow excluded any oesophageal perforation (Figure 4).