AI Article Synopsis
- Tracheobronchial disruption from blunt chest trauma can lead to serious respiratory issues, but its symptoms vary and can be hard to diagnose.
- A case study of a 16-year-old male involved in a car accident revealed complete right main bronchial transection, leading to significant breathing difficulties and pneumothorax.
- Timely interventions, including chest tube drainage and bronchoscopy, ultimately repaired the injury, allowing the patient to recover and be discharged without complications.
Article Abstract
Tracheobronchial disruption is one of the most severe injuries caused by blunt chest trauma. It may cause airway obstruction and resulting life-threatening respiratory deficiency. However, the clinical presentations are variable and frequently difficult to diagnose. We report a case of a previously healthy 16-year-old man with complete right main bronchial transection sustained after a vehicular accident, who had progressive dyspnea, subcutaneous emphysema in the neck and anterior chest wall, and bilateral tension pneumothorax. Prompt chest tube drainage for suspected bilateral tension pneumothorax and a tracheal intubation were performed. Shortly after the positive pressure ventilation, severe subcutaneous emphysema developed and he was at risk for developing shock. Additional chest tubes were inserted. An emergency bronchoscopy showed rupture of the right main bronchus. After changing to a double lumen endotracheal tube, the patient's condition improved. A surgical closure was performed and postoperative bronchoscopy showed good repair. The patient was discharged without complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758621 | PMC |
| http://dx.doi.org/10.15441/ceem.16.177 | DOI Listing |
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