Tracheobronchial rupture after tracheal intubation is rare in clinical practice. Possible contributory factors are multiple vigorous attempts at intubation, overinflation of the cuff, anatomic alterations, and predisposing individual factors. These lesions can be detected by bronchoscopy, which is the most effective method to confirm the diagnosis and determine the exact location and extent of the tear. We report the case of a woman with membranous tracheal rupture after endotracheal intubation. Subcutaneous emphysema, pneumomediastinum and bilateral pneumothorax were noted after extubation. The diagnosis was confirmed by fiberoptic bronchoscopy and computed tomography scan, and the patient required emergency surgical repair.
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http://dx.doi.org/10.1016/s0009-739x(06)70916-2 | DOI Listing |
Indian J Thorac Cardiovasc Surg
February 2025
Department of Cardiovascular & Thoracic Surgery, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra India.
The subclavian artery's intrathoracic segment is a rare peripheral artery aneurysm site. Common causes are atherosclerosis, trauma, vasculitis, and infection. Subclavian artery aneurysms have a higher propensity for rupture, thrombosis, embolization, and compression of surrounding structures, thus necessitating urgent surgical care.
View Article and Find Full Text PDFClin Transl Gastroenterol
January 2025
Department of Clinical Genetics, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Background: Classical-like Ehlers Danlos Syndrome type 1 (clEDS1) is a very rare form of Ehlers Danlos Syndrome (EDS) caused by tenascin-X (TNX) deficiency, with only 56 individuals reported. TNX is an extracellular matrix protein needed for collagen stability. Previous publications propose that individuals with clEDS1 might be at risk for gastrointestinal (GI) tract perforations and/or tracheal ruptures.
View Article and Find Full Text PDFKyobu Geka
December 2024
Department of Surgery, Yaizu City Hospital, Yaizu, Japan.
A foreign national male in his 30s presented to our hospital after falling overboard. He appeared to have had a rope around his neck during the fall;however, no witnesses observed this. The patient was agitated in the emergency room and was walking around incessantly.
View Article and Find Full Text PDFKyobu Geka
November 2024
Department of Thoracic Surgery, Sendai Kousei Hospital, Sendai, Japan.
A 58-year-old woman was pointed out an abnormal electrocardiogram during a physical examination. A chest computed tomography( CT) scan revealed a 50-mm-sized cystic mass in the posterior mediastinum near the tracheal bifurcation. The mass exhibited growth during follow-up imaging, leading to a surgical resection.
View Article and Find Full Text PDFSaudi J Anaesth
October 2024
Department of Anaesthesiology, Hospital Dr. Nélio Mendonça, Av. Luís de Camões 6180, 9000-177 Funchal, Portugal.
An acute injury of the tracheobronchial system is a rare but potentially life-threatening condition that can be caused by medical procedures. Diagnosis requires a thorough evaluation of the patient's medical history, physical examination, and imaging tests. Identification of a tracheal rupture in patients under sedation or general anesthesia may be difficult, and a strong clinical suspicion is essential.
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