Two Cases of Bronchial Injury in Patients with Blunt Chest Trauma.
10.17479/jacs.2017.7.1.39
- Author:
Hong Joo SEO
1
;
Kyung Hoon SUN
;
Sun Pyo KIM
Author Information
1. Department of Cardiovascular Surgery, Chosun University School of Medicine, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Bronchi;
Thoracic injuries;
Mediastinal emphysema;
Pneumothorax
- MeSH:
Bronchi;
Constriction, Pathologic;
Delayed Diagnosis;
Diagnosis;
Emergency Service, Hospital;
Humans;
Mediastinal Emphysema;
Pneumothorax;
Rupture;
Sepsis;
Subcutaneous Emphysema;
Thoracic Injuries;
Thoracostomy;
Thorax*;
Trauma Centers
- From:
Journal of Acute Care Surgery
2017;7(1):39-43
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Traumatic bronchial injury (TBI) is rare and often fatal, usually a result of blunt or penetrating chest trauma. Clinical manifestations of TBI include pneumothorax, pneumomediastinum, subcutaneous emphysema and continuous air leakage despite thoracostomy with negative pressure. However, TBI is initially difficult to diagnose because its signs are similar to other chest traumas. Delayed diagnosis of TBI can result in sepsis, bronchial stenosis, hypoxic injury, and eventually can cause death. We experienced two patients with TBI, possibly a result of blunt chest trauma. We did not diagnose TBI in the emergency room because we did not suspect it. During surgery, we discovered right bronchial rupture, so performed end to end anastomosis of bronchus in two patients. This report discusses the rare occurrence of TBIs due to chest trauma; our aim is to increase awareness of this diagnosis in the trauma center.
