Open AccessTraumatic transection of main stem bronchus with unexpected clinical presentation- a case report
Author(s) -
Chao-Kun Chen,
Ying-Chieh Su,
Chu-Li Tu,
ChienMing Chao,
Y. Fong
Publication year - 2017
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.4103/2221-6189.219621
Subject(s) - medicine , pneumothorax , surgery , subcutaneous emphysema , right main bronchus , bronchus , pneumonectomy , airway , mediastinal shift , extracorporeal membrane oxygenation , lung , pneumomediastinum , respiratory disease
Tracheobronchial injury is very challenging in diagnosis and treatment. Highly suspicious\udairway injury and early diagnosis is recommended. We present a case of 39 years-old woman\udsuffering from acute respiratory failure with bilateral hemo-pneumothorax and diffuse\udsubcutaneous emphysema initially. She weaned from ventilator a few days later, but dyspnea\udrecurred due to delayed diagnosis of complete disruption of right main bronchus. However,\udthe image study was incompatible with clinical findings. It showed collapse of left lower lung\udand hyperinflation of right lung, instead of right pneumothorax or fallen-lung sign. Under\udthe assistance of veno-venous extracorporeal membrane oxygenation, primary repair of right\udmain bronchial injury was performed successfully. Finally, she recovered well uneventfully.\udIn tracheobronchial injury, early diagnosis is a positive prognostic factor. The other important\udpoint is primary repair, instead of lobectomy or pneumonectomy