• Thorac Cardiovasc Surg · Dec 2006

    Case Reports

    Delayed diagnosis of a complete bronchial rupture after blunt thoracic trauma.

    • A Demir, A Olcmen, H V Kara, and S I Dincer.
    • Department of Thoracic Surgery, Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Istanbul, Turkey. dradalet@hotmail.com
    • Thorac Cardiovasc Surg. 2006 Dec 1;54(8):560-2.

    AbstractBronchial ruptures due to blunt chest traumas are rarely encountered injuries. They can be missed in the emergency room depending on the clinical findings. We present a case report of a previously healthy 32-year-old woman who received multiple rib and clavicula fractures on the right side in a traffic accident. The plain radiograms taken on the first and fifth day showed no other pathological findings than the above-mentioned fractures. Her control chest radiography, which was taken 7 weeks later, showed a totally opaque left hemithorax but no findings of pneumothorax were present. Fiberoptic bronchoscopy and virtual bronchoscopy showed a left main bronchial rupture. The patient was treated with an end-to-end anastomosis via left posterolateral thoracotomy.

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