Major tracheobronchial injuries: Management of two rare cases
- Author:
Tan Jih HUEI
1
;
Henry Tan Chor Lip
;
Rahmat OTHMAN
Author Information
1. Department of Surgery, Hospital Sultan Ismail, Johor Bahru, Malaysia
- Publication Type:Case report
- From:
The Medical Journal of Malaysia
2018;73(3):177-179
- CountryMalaysia
- Language:English
-
Abstract:
suspicion is needed for immediate diagnosis and prompttreatment. In this case series, two rare cases oftracheobronchial injuries is described showing variableclinical presentations with different levels of injury. Our firstcase was seen in a 20 years old male whom had a directimpact on the neck and presented with upper tracheal injury.On arrival, this patient was in respiratory distress and hadbilateral pneumothorax. Bilateral chest tube was insertedwith subsequent neck exploration. During the neckexploration, anastomosis of the injured trachea wasperformed. The second case was represented by a 35 yearsold man with right main bronchial injury. Upon initialpresentation, this patient appeared well and wascomfortable under room air. However he graduallydeteriorated one week after the trauma requiring surgicalintervention. Eventually a thoracotomy with primaryanastomosis of the bronchial tear was performed. Details ofboth cases including clinical presentation, imaging andprocedures done will be discussed in this article.
