scholarly journals Clinical and pathophysiological features of traumatic stenosis of the right main bronchus: Case report

2007 ◽  
Vol 135 (11-12) ◽  
pp. 666-668
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Gordana Djordjevic ◽  
Savo Durkovic ◽  
Davor Stamenovic ◽  
...  
Keyword(s):  
Case Report ◽  
Oxygen Saturation ◽  
Traffic Accident ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Rapid Diagnosis ◽  
Blunt Injury ◽  
Bronchial Stenosis ◽  
Low Oxygen ◽  
The Right

Introduction Severe blunt injury of the chest can cause rupture of the tracheobronchial tree. After completed management of the injury, stenosis of the bronchi may develop at the site of the rupture. Such condition is associated with pathophysiolocical disorders, which then indicates to the possible presence of the bronchial stenosis. Case report We report a patient with stenosis of the right main bronchus due to blunt injury sustained in a traffic accident. We present all pathophysiological signs detected during examination. The patient had dyspnea, cianosis, tachycardia, low oxygen saturation and low pO2. We performed right thoracothomy and resection of the main bronchus with TT anastomosis. Conclusion It is very useful to understand the described pathophysiological signs so as to ensure rapid diagnosis of stenosis, but also better and timely solving of problems that can occur during thoracothomy.

scholarly journals Stenosis of the right major bronchus from blunt trauma

2006 ◽  
Vol 63 (5) ◽  
pp. 501-503
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Savo Durkovic ◽  
Vlado Cvijanovic ◽  
Aleksandar Ristanovic ◽  
...  
Keyword(s):  
Case Report ◽  
Blunt Trauma ◽  
Respiratory Insufficiency ◽  
Traffic Accident ◽  
Clinical Signs ◽  
Tracheobronchial Tree ◽  
Blunt Injury ◽  
Radiographic Image ◽  
Right Thoracotomy ◽  
The Right

Background. A severe blunt injury to the chest might cause rupture of the tracheobronchial tree. A certain time following the management of the injury, stenosis of the bronchi may develop at the site of the rupture. Case report. We reported a patient injured in a traffic accident. The injury was followed by the signs of pneumothorax, bleeding, and respiratory insufficiency. After the management of the injury using thoracal drainage, the condition of the injured was stabilized. Two weeks later, however, difficulties in breathing and fatigue occurred. Circular stenosis of the right major bronchus was clinically, radiographically and bronchoscopically confirmed. Right thoracotomy and circular resection of the major bronchus with termino-terminal anastomosis were performed. Conclusion. In severe blunt injuries to the chest, it is very important to suspect the injury of the tracheobronchial tree in order to correctly understand the clinical signs of an injury and to interprete a radiographic image of it, so as to decide upon the optimal treatment on time.

scholarly journals Broken metallic tracheostomy tube migrating into the tracheobronchial tree

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Ratna Priya ◽  
Sheetal Shelke ◽  
Kartik Krishnan
Keyword(s):  
Foreign Body ◽  
Tracheostomy Tube ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Life Saving ◽  
Wear And Tear ◽  
Life Threatening ◽  
History Of ◽  
The Right ◽  
Periodic Replacement

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson’s disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.

scholarly journals Hemoptysis due to a large endobronchial mass successful regression after the use of high flow nasal cannula

2020 ◽  
Vol 90 (3) ◽  
Author(s):  
Paola Pierucci ◽  
Nicolino Ambrosino ◽  
Annalisa Carlucci ◽  
Salvatore Grasso ◽  
Giovanna Elisiana Carpagnano ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Oxygen Saturation ◽  
Main Bronchus ◽  
Large Mass ◽  
High Flow ◽  
Nasal Cannula ◽  
High Flow Nasal Cannula ◽  
High Flow Oxygen ◽  
The Right ◽  
Positive Results

In recent years, high flow nasal cannula is being increasingly used. Most studies showed positive results when used in hypoxaemic respiratory failure. Its use in a patient with a large endobronchial mass has not yet being described. We report a patient who presented with hemoptysis and hypoxaemic respiratory failure second to a large mass obstructing the right main bronchus. High flow oxygen via nasal cannula was initiated with a quick improvement of the hemoptysis and the oxygen saturation. Thus, allowing the patient to be rapidly stabilized.

scholarly journals Structural and functional alterations of the tracheobronchial tree after left upper pulmonary lobectomy for lung cancer

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Qingtao Gu ◽  
Shouliang Qi ◽  
Yong Yue ◽  
Jing Shen ◽  
Baihua Zhang ◽  
...  
Keyword(s):  
Flow Rate ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Sectional Area ◽  
Pulmonary Lobectomy ◽  
Airflow Velocity ◽  
Cross Sectional ◽  
Lobar Bronchus ◽  
Cfd Method ◽  
The Right

Abstract Background Pulmonary lobectomy has been a well-established curative treatment method for localized lung cancer. After left upper pulmonary lobectomy, the upward displacement of remaining lower lobe causes the distortion or kink of bronchus, which is associated with intractable cough and breathless. However, the quantitative study on structural and functional alterations of the tracheobronchial tree after lobectomy has not been reported. We sought to investigate these alterations using CT imaging analysis and computational fluid dynamics (CFD) method. Methods Both preoperative and postoperative CT images of 18 patients who underwent left upper pulmonary lobectomy are collected. After the tracheobronchial tree models are extracted, the angles between trachea and bronchi, the surface area and volume of the tree, and the cross-sectional area of left lower lobar bronchus are investigated. CFD method is further used to describe the airflow characteristics by the wall pressure, airflow velocity, lobar flow rate, etc. Results It is found that the angle between the trachea and the right main bronchus increases after operation, but the angle with the left main bronchus decreases. No significant alteration is observed for the surface area or volume of the tree between pre-operation and post-operation. After left upper pulmonary lobectomy, the cross-sectional area of left lower lobar bronchus is reduced for most of the patients (15/18) by 15–75%, especially for 4 patients by more than 50%. The wall pressure, airflow velocity and pressure drop significantly increase after the operation. The flow rate to the right lung increases significantly by 2–30% (but there is no significant difference between each lobe), and the flow rate to the left lung drops accordingly. Many vortices are found in various places with severe distortions. Conclusions The favorable and unfavorable adaptive alterations of tracheobronchial tree will occur after left upper pulmonary lobectomy, and these alterations can be clarified through CT imaging and CFD analysis. The severe distortions at left lower lobar bronchus might exacerbate postoperative shortness of breath.

scholarly journals Parry Romberg Syndrome: a case report

2020 ◽  
Vol 10 (2) ◽  
pp. 75-77
Author(s):  
Admad Liaquat ◽  
Nabeela Riaz ◽  
Arun Kumar Shah
Keyword(s):  
Case Report ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Subcutaneous Fat ◽  
Fracture Site ◽  
Engineering Student ◽  
Parry Romberg Syndrome ◽  
Systemic Manifestations ◽  
The Right

Parry Romberg syndrome (PRS) is a rare disorder, characterized by unilateral facial atrophy of the skin, subcutaneous fat, muscles, cartilages, and even bone. Various systemic manifestations re­ported with this syndrome are neurologic, maxillofacial, and ophthalmologic. The etiology is still unknown. Herein we present a case report of 23 years young engineering student who had PRS and got a fracture of the right angle of his mandible after a road traffic accident. The treatment was challenging as he had nonunion at the fracture site.

scholarly journals Terrible triad elbow with tricep avulsion: diagnostic challenge and treatment dilemma: case report

2021 ◽  
Vol 7 (3) ◽  
pp. 671
Author(s):  
Jeetendra Prakash Katariya ◽  
Anup Milind Khatri ◽  
Ashish Kumar
Keyword(s):  
Case Report ◽  
Traffic Accident ◽  
Locking Plate ◽  
Suture Anchor ◽  
Road Traffic ◽  
Terrible Triad ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
The Right ◽  
Time Of Presentation

<p class="abstract">Triceps Avulsion with terrible triad of elbow is a rare presentation and often missed at the time of presentation. The aim of this case report is to identify triceps avulsion in patients with terrible triad elbow and help in its management and post-operative mobilization protocol. We report a case of 40-year male, a case of road traffic accident with right elbow terrible triad injury with triceps avulsion. The radial head was fixed with 2.5 mm locking plate and screws and suture anchor was used for triceps avulsion. Elbow mobilization was started at 2 weeks post-operatively. In patients with terrible triad injuries, diagnosis of triceps avulsion is very challenging because of swelling, pain and difficult to examine triceps for extension power. It is important to know this type of presentation of triceps avulsion with terrible triad to address the diagnostic pathway in the right direction and to treat them promptly. Missing triceps avulsion in complex injuries may hamper post-operative elbow range of movements in form of extension lag or triceps weakness.</p>

scholarly journals Sex-related penile fracture with complete urethral rupture: A case report and review of the literature

2015 ◽  
Vol 87 (3) ◽  
pp. 260 ◽  
Author(s):  
Marco Garofalo ◽  
Lorenzo Bianchi ◽  
Giorgio Gentile ◽  
Marco Borghesi ◽  
Valerio Vagnoni ◽  
...  
Keyword(s):  
Case Report ◽  
Emergency Surgery ◽  
Tunica Albuginea ◽  
Blunt Injury ◽  
Penile Shaft ◽  
Penile Fracture ◽  
Voiding Symptoms ◽  
First Choice ◽  
The Right ◽  
Urethral Rupture

Objective: To present the management of a patient with partial disruption of both cavernosal bodies and complete urethral rupture and to propose a non-systematic review of literature about complete urethral rupture. Material and method - Case report: A 46 years old man presented to our emergency department after a blunt injury of the penis during sexual intercourse. On physical examination there was subcutaneous hematoma extending over the proximal penile shaft with a dorsal-left sided deviation of the penis and urethral bleeding. Ultrasound investigation showed an hematoma in the ventral shaft of the penis with a discontinuity of the tunica albuginea of the right cavernosal corporum. The patient underwent immediate emergency surgery consisted on evacuation of the hematoma, reparation the partial defect of both two cavernosal bodies and end to end suture of the urethra that resulted completely disrupted. Results: The urethral catheter was removed at the 12-th postoperative day without voiding symptoms after a retrograde urethrography. 6 months postoperatively the patients was evaluated with uroflowmetry demonstrating a max flow rate of 22 ml/s and optimal functional outcomes evaluated with validated questionnaires. 8 months after surgery the patients was evaluated by dynamic magnetic resonance (MRI) of the penis showing only a little curvature on the left side of the penile shaft. Conclusion: Penile fracture is an extremely uncommon urologic injury with approximately 1331 reported cases in the literature till the years 2001. To best of our knowledge from 2001 up today, 1839 more cases have been reported, only in 159 of them anterior urethral rupture was associated and in only 22 cases a complete urethral rupture was described. In our opinion, in order to prevent long term complications, in case of clinical suspicion of penile fracture, especially if it is associated to urethral disruption, emergency surgery should be the first choice of treatment.

scholarly journals Complete transection of the right main bronchus: case report

2019 ◽  
Vol 35 (2) ◽  
pp. 242-244
Author(s):  
Rajat Sindwani ◽  
Samir Kapoor ◽  
Suvir Grover ◽  
Rajiv Kumar Gupta ◽  
Vikrampal Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Main Bronchus ◽  
Complete Transection ◽  
The Right

Detection of extrinsic bronchial compression during foreign body removal by pulse oximetry

1990 ◽  
Vol 104 (1) ◽  
pp. 50-51
Author(s):  
M. S. C. Morrissey ◽  
P. J. H. Venn ◽  
H. Y. Chan ◽  
H. Whittet
Keyword(s):  
Foreign Body ◽  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Main Bronchus ◽  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Partial Removal ◽  
Foreign Body Removal ◽  
The Right ◽  
Bronchial Compression

AbstractA case of stridor is described which was due to the presence of a foreign body in the larynx of an infant. Following partial removal, compression of the right main bronchus was detected because of continuing low arterial oxygen saturation. The use of pulse oximetry allowed this complication to be identified, and the advantages of this method of monitoring are discussed.

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