Citation

Mahmodlou R, Sepehrvand N. Int. J. Crit. Illn. Inj. Sci. 2015; 5(2): 116-118.

Affiliation

Department of Surgery, Urmia University of Medical Sciences, Urmia, Iran.

Copyright

(Copyright © 2015, Medknow Publications)

DOI

10.4103/2229-5151.158417

PMID

26157657

PMCID

PMC4477389

Abstract

Tracheobronchial avulsion resulting from blunt trauma is a very rare and serious condition, mostly due to high-speed traffic crashes. In this article, we briefly report the case of an 18-year-old man who was injured in a car accident and because of massive persistent air leakage (despite appropriate chest tube drainage), deemed to have a deep tracheobronchial injury. Due to a rapid drop in the patient's O2 saturation, he underwent an anterolateral thoracotomy. Endotracheal intubation was performed under direct visualization. The right mainstem bronchus was disrupted from the carina with a 1.5-cm stump remaining on the carina, and the remainder was crushed to the origin of the right superior lobe bronchus. Hence, a right superior lobectomy was performed and the postoperative course was uneventful.

Language: en