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Case Reports
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, and L Santambrogio.
- Ospedale Maggiore di Milano, IRCSS, Thoracic Surgery Unit, University of Milan, Milan, Italy. elebaisi@tin.it
- Minerva Chir. 2003 Aug 1;58(4):587-9.
AbstractTracheobronchial 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.
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