Traumatic bronchial injury
| Autor: | Henry Cryer, Catherine E. Lewis, Areti Tillou, Ali Cheaito |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Thorax
Surgical repair Bronchi/injuries 030222 orthopedics medicine.medical_specialty business.industry Bronchial Injury Case Report respiratory system medicine.disease Tracheobronchial injury respiratory tract diseases Surgery 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Blunt trauma Accidents Anesthesia Bronchi/surgery medicine Traffic business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2016.08.014 |
| Popis: | Highlights • Bronchial injury. • Chest tubes. • Thoracotomy. • Motor vehicle accident. • Pulmonary contusion. Introduction Tracheobronchial injury is a recognized, yet uncommon, result of blunt trauma to the thorax. Often the diagnosis and treatment are delayed, resulting in attempted surgical repair months or even years after the injury. Presentation of the case We present a case report of a 31-year old female who suffered a left main bronchus transection after a motor vehicle accident. The diagnostic, management issues, and clinical findings surrounding this injury are reviewed. Discussion Tracheobronchial disruption is a rare, life-threatening injury. Suspicion should be high when pneumomediastinum and pneumothorax are refractory to adequate pleural drainage. Flexible bronchoscopy with intubation distal to the injury may be necessary to prevent loss of the airway. Advance preparation should include setups for bronchoscopy, thoracotomy, and cardiopulmonary bypass. Patient survival depends on preparation and prompt surgical intervention. Conclusion A high level of suspicion and the liberal use of bronchoscopy are important in the diagnosis of tracheobronchial injury. A tailored surgical approach is often necessary for definitive repair. |
| Databáze: | OpenAIRE |
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