Tracheobronchial injury (TBI) after blunt trauma of the chest is a rare life-threatening entity that can be successfully managed by surgery if there is an early diagnosis. A 18-year-old man was injured in a motocycle accident. Three consecutive flexible bronchoscopies risulted negative for tracheo-bronchial lesions. Then, the patient was submitted to a spiral CT-scan of the chest with 3-dimensional reconstruction of the tracheobronchial tree that showed a rupture of the right main bronchus from the trachea. The lesion was successfully treated by surgery. Bronchoscopic findings in TBI may be unclear also for an experienced thoracic surgeon.
Diagnosis of complete mainstem bronchus avulsion by 3-dimensional spiral CT scan of the chest / A. Baisi, M. Nosotti, U. Cioffi, M. De Simone, L. Rosso, M. Cappelletti, M. Triggiani, L. Santambrogio. - In: MINERVA CHIRURGICA. - ISSN 0026-4733. - 58:4(2003 Aug), pp. 587-589.
Diagnosis of complete mainstem bronchus avulsion by 3-dimensional spiral CT scan of the chest
A. BaisiPrimo
;M. NosottiSecondo
;U. Cioffi;M. De Simone;L. Rosso;L. SantambrogioUltimo
2003
Abstract
Tracheobronchial injury (TBI) after blunt trauma of the chest is a rare life-threatening entity that can be successfully managed by surgery if there is an early diagnosis. A 18-year-old man was injured in a motocycle accident. Three consecutive flexible bronchoscopies risulted negative for tracheo-bronchial lesions. Then, the patient was submitted to a spiral CT-scan of the chest with 3-dimensional reconstruction of the tracheobronchial tree that showed a rupture of the right main bronchus from the trachea. The lesion was successfully treated by surgery. Bronchoscopic findings in TBI may be unclear also for an experienced thoracic surgeon.Pubblicazioni consigliate
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