Right Main Bronchus Rupture Presenting with Pneumoperitoneum

다국어 초록 (Multilingual Abstract)

We report the case of a 16-year-old male patient who was involved in a traffic accident and transferred to the emergency department with mild chest pain. We initially did not find evidence of tracheal injury on computed tomography (CT). Within an hour after presentation, the patient developed severe dyspnea and newly developed subcutaneous emphysema and pneumoperitoneum were discovered. Abdominal CT showed no intra-abdominal injury. However, destruction of the right main bronchus was identified on coronal images of the initially performed CT scan. Emergency exploratory surgery was performed. The amputated right main bronchus was identified. End-to-end tracheobronchial anastomosis was performed, and the patient recovered without any complications.

참고문헌 (Reference)

1 황정주, "Traumatic Tracheobronchial Injury: Delayed Diagnosis and Treatment Outcome" 대한흉부외과학회 46 (46): 197-201, 2013

2 Zinck SE, "Radiographic and CT findings in blunt chest trauma" 15 : 87-96, 2000

3 Rossbach MM, "Management of major tracheobronchial injuries: a 28-year experience" 65 : 182-186, 1998

4 Le Guen M, "Chest computed tomography with multiplanar reformatted images for diagnosing traumatic bronchial rupture: a case report" 11 : R94-, 2007

5 Sangster GP, "Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings" 14 : 297-310, 2007

6 Scaglione M, "Acute tracheobronchial injuries: Impact of imaging on diagnosis and management implications" 59 : 336-343, 2006