Korean J Thorac Cardiovasc Surg.  2018 Jun;51(3):216-219. 10.5090/kjtcs.2018.51.3.216.

Right Main Bronchus Rupture Presenting with Pneumoperitoneum

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • 2The 8th Mechanized Infantry Division, The 3rd Republic of Korea Army, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. csjjong@naver.com

Abstract

We report the case of a 16-year-old male patient who was involved in a traffic accident and transferred to the emergency department with mild chest pain. We initially did not find evidence of tracheal injury on computed tomography (CT). Within an hour after presentation, the patient developed severe dyspnea and newly developed subcutaneous emphysema and pneumoperitoneum were discovered. Abdominal CT showed no intra-abdominal injury. However, destruction of the right main bronchus was identified on coronal images of the initially performed CT scan. Emergency exploratory surgery was performed. The amputated right main bronchus was identified. End-to-end tracheobronchial anastomosis was performed, and the patient recovered without any complications.

Keyword

Bronchial diseases; Tracheal injury; Blunt trauma

MeSH Terms

Accidents, Traffic
Adolescent
Bronchi*
Bronchial Diseases
Chest Pain
Dyspnea
Emergencies
Emergency Service, Hospital
Humans
Male
Pneumoperitoneum*
Rupture*
Subcutaneous Emphysema
Tomography, X-Ray Computed
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