Intrathoracic tracheal rupture following closed chest trauma is a potentially lethal injury which can be successfully repaired if the diagnosis is made early. Dyspnoea, mediastinal emphysema and pneumothorax which do not respond to intercostal tube drainage should alert the clinician to the possibility of intrathoracic tracheal rupture. A case is described. A 17-year-old boy sustained two longitudinal lacerations of the membranous portion of the intrathoracic trachea in association with blunt chest trauma. The diagnosis was delayed because of coexisting head injury. The tracheal lacerations were successfully repaired via a right thoracotomy. The principles of management in such injuries are reviewed.
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Article Synopsis
- Traumatic esophageal-tracheal fistulas (ETFs) from stab wounds are uncommon and often missed in diagnoses, requiring imaging for detection.
- A case study of a patient stabbed in the back showed complications including air bubbles in the mediastinum, necessitating surgical intervention to repair the small ETF.
- Successful treatment involved direct suture repair and careful postoperative monitoring, leading to a speedy recovery and the ability to resume oral feeding after two weeks.
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