scholarly journals Posttraumatic disruption of the right main bronchus - a case report

2019 ◽  
Vol 72 (7-8) ◽  
pp. 248-250
Author(s):  
Bojan Koledin ◽  
Milos Koledin ◽  
Ivan Kuhajda ◽  
Sladjana Koledin

Introduction. Tracheobronchial disruption is a rare disorder, usually accompanied by a severe blunt chest trauma that quite rarely appears as an isolated event. Case Report. This is a case report of a right main bronchus disruption, due to an injury to the right hemithorax, caused by a falling tree trunk. The disruption was accompanied by mediastinal emphysema, fractures of the 4th and 5th ribs on the right side and compound sternal fracture. The patient was operated in general anesthesia, through right thoracotomy approach, followed by successful right main bronchus reconstruction by interrupted suture technique, without anatomic resection of the lung parenchyma. Conclusion. Although this injury is rare, with suspicion of bronchial rupture, bronchoscopy confirms the diagnosis and leads to better prognosis.

Injury ◽  
2005 ◽  
Vol 36 (1) ◽  
pp. 213-217 ◽  
Author(s):  
Theodore Vougiouklakis ◽  
Dimitrios Peschos ◽  
Apostolos Doulis ◽  
Anna Batistatou ◽  
Antigone Mitselou ◽  
...  

1994 ◽  
Vol 24 (2) ◽  
pp. 324
Author(s):  
Young Sik Kim ◽  
Sung Oh Hwang ◽  
Kang Hyun Lee ◽  
Moo Eob An ◽  
Kyoung Soo Lim ◽  
...  

1998 ◽  
Vol 35 (3) ◽  
pp. 562
Author(s):  
Kyung Eun Chun ◽  
Jong Hak Kim ◽  
Chi Hyo Kim ◽  
Choon Hi Lee

Ultrasound ◽  
2021 ◽  
pp. 1742271X2199460
Author(s):  
Serena Rovida ◽  
Daniele Orso ◽  
Salman Naeem ◽  
Luigi Vetrugno ◽  
Giovanni Volpicelli

Introduction Bedside lung sonography is recognized as a reliable diagnostic modality in trauma settings due to its ability to detect alterations both in lung parenchyma and in pleural cavities. In severe blunt chest trauma, lung ultrasound can identify promptly life-threatening conditions which may need direct intervention, whereas in minor trauma, lung ultrasound contributes to detection of acute pathologies which are often initially radio-occult and helps in the selection of those patients that might need further investigation. Topic Description We did a literature search on databases EMBASE, PubMed, SCOPUS and Google Scholar using the terms ‘trauma’, ‘lung contusion’, ‘pneumothorax’, ‘hemothorax’ and ‘lung ultrasound’. The latest articles were reviewed and this article was written using the most current and validated information. Discussion Lung ultrasound is quite accurate in diagnosing pneumothorax by using a combination of four sonographic signs; absence of lung sliding, B-lines, lung pulse and presence of lung point. It provides a rapid diagnosis in hemodynamically unstable patients. Lung contusions and hemothorax can be diagnosed and assessed with lung ultrasound. Ultrasound is also very useful for evaluating rib and sternal fractures and for imaging the pericardium for effusion and tamponade. Conclusion Bedside lung ultrasound can lead to rapid and accurate diagnosis of major life-threatening pathologies in blunt chest trauma patients.


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