Lobar Bronchial Rupture with Persistent Atelectasis after Blunt Trauma.
10.4266/kjccm.2014.29.4.344
- Author:
Jun Hyun KIM
;
Kyung Woo KIM
;
Chu Sung CHO
;
Sang Il LEE
;
Ji Yeon KIM
;
Kyung Tae KIM
;
Won Joo CHOE
;
Jang Su PARK
;
Jung Won KIM
- Publication Type:Case Report
- Keywords:
bronchoscopy;
lung injury;
pulmonary atelectasis
- MeSH:
Bronchi;
Bronchoscopy;
Diagnosis;
Dyspnea;
Granulation Tissue;
Humans;
Lung Injury;
Pulmonary Atelectasis*;
Rupture*;
Thorax
- From:Korean Journal of Critical Care Medicine
2014;29(4):344-347
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rupture limited to the lobar bronchus from blunt trauma is especially rare, and the symptoms are light so diagnosis is difficult. In a patient who visited the hospital complaining of shortness of breath after falling down, atelectasis continued in the chest x-ray. Four days after visiting the hospital, a left upper lobar bronchial rupture was diagnosed through a bronchoscopy and 3 dimensional chest computerized tomography. When diagnosis is delayed in the case of a rupture limited to the lobar bronchus, bronchial obstruction can occur from the formation of granulation tissue, so regular monitoring is important. Therefore, when atelectasis continues after blunt trauma, it is important to differentially diagnose a lobar bronchial rupture through tests such as bronchoscopy.
