Acute Crit Care.  2019 May;34(2):170-171. 10.4266/acc.2018.00234.

Pneumothorax caused by delayed tracheal rupture in a pediatric patient with acute respiratory distress syndrome

Affiliations
  • 1Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. joongbum.cho@gmail.com
  • 3Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 4Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.

Abstract

No abstract available.


MeSH Terms

Humans
Pneumothorax*
Respiratory Distress Syndrome, Adult*
Rupture*

Figure

  • Figure 1. Chest computed tomography with post-contrast views. (A) A black arrow marks a 4-mm tracheal tear at the level of T3-4. Air collection is also presented on sagittal view. (B) Tracheal rupture appears above the carina on the right side.

  • Figure 2. Bronchoscopic findings. A C-shaped tracheal rupture (white arrowheads) around the oval ischemic lesion at the posterior membrane of the lower third of the trachea.


Reference

1. Hofmann HS, Rettig G, Radke J, Neef H, Silber RE. Iatrogenic ruptures of the tracheobronchial tree. Eur J Cardiothorac Surg. 2002; 21:649–52.
2. Schneider T, Storz K, Dienemann H, Hoffmann H. Management of iatrogenic tracheobronchial injuries: a retrospective analysis of 29 cases. Ann Thorac Surg. 2007; 83:1960–4.
Article
3. Minambres E, Buron J, Ballesteros MA, Llorca J, Munoz P, Gonzalez-Castro A. Tracheal rupture after endotracheal intubation: a literature systematic review. Eur J Cardiothorac Surg. 2009; 35:1056–62.
4. Jabre P, Avenel A, Combes X, Kulstad E, Mazariegos I, Bertrand L, et al. Morbidity related to emergency endotracheal intubation: a substudy of the KETAmine SEDation trial. Resuscitation. 2011; 82:517–22.
5. Lim H, Kim JH, Kim D, Lee J, Son JS, Kim DC, et al. Tracheal rupture after endotracheal intubation: a report of three cases. Korean J Anesthesiol. 2012; 62:277–80.
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