Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Right Main Bronchus Rupture Presenting with Pneumoperitoneum

  • Hong, Seok Beom (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Ji Yoon (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, June (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Choi, Kuk Bin (The 8th Mechanized Infantry Division, The 3rd Republic of Korea Army) ;
  • Suh, Jong Hui (Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2017.08.28
  • Accepted : 2017.09.26
  • Published : 2018.06.05
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Sangster GP, Gonzalez-Beicos A, Carbo AI, et al. Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings. Emerg Radiol 2007;14:297-310. https://doi.org/10.1007/s10140-007-0651-8
  2. Hwang JJ, Kim YJ, Cho HM, Lee TY. Traumatic tracheobronchial injury: delayed diagnosis and treatment outcome. Korean J Thorac Cardiovasc Surg 2013;46:197-201. https://doi.org/10.5090/kjtcs.2013.46.3.197
  3. Zinck SE, Primack SL. Radiographic and CT findings in blunt chest trauma. J Thorac Imaging 2000;15:87-96. https://doi.org/10.1097/00005382-200004000-00003
  4. Rossbach MM, Johnson SB, Gomez MA, Sako EY, Miller OL, Calhoon JH. Management of major tracheobronchial injuries: a 28-year experience. Ann Thorac Surg 1998;65:182-6. https://doi.org/10.1016/S0003-4975(97)01001-1
  5. Scaglione M, Romano S, Pinto A, Sparano A, Scialpi M, Rotondo A. Acute tracheobronchial injuries: Impact of imaging on diagnosis and management implications. Eur J Radiol 2006;59:336-43. https://doi.org/10.1016/j.ejrad.2006.04.026
  6. Le Guen M, Beigelman C, Bouhemad B, Wenjie Y, Marmion F, Rouby JJ. Chest computed tomography with multiplanar reformatted images for diagnosing traumatic bronchial rupture: a case report. Crit Care 2007;11:R94. https://doi.org/10.1186/cc6109