Management of a traumatic avulsion of the right upper lobe bronchus

Tracheobronchial injuries are rare but life-threatening and require early diagnosis, appropriate airway management, and emergent surgical intervention. We report a case of a post-traumatic, isolated avulsion of the right upper lobe bronchus in a 60-year-old woman involved in a pedestrian versus moto...

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Bibliographic Details
Published inTrauma case reports Vol. 40; p. 100660
Main Authors Park, Jiwon V., Williams, Aaron M., Scott, John W., Blank, Ross, Reddy, Rishindra M.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.08.2022
Elsevier
Subjects
Avulsion
Case Report
Lobectomy
Thoracic trauma
Tracheobronchial injury
Tracheobronchial injury
Avulsion
Thoracic trauma
Lobectomy
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Summary:Tracheobronchial injuries are rare but life-threatening and require early diagnosis, appropriate airway management, and emergent surgical intervention. We report a case of a post-traumatic, isolated avulsion of the right upper lobe bronchus in a 60-year-old woman involved in a pedestrian versus motor vehicle accident. After transfer from an outside hospital with a single lumen endotracheal tube and multiple right sided chest tubes with large air leaks, the patient was taken to the OR for bronchoscopy and surgical exploration. Intraoperatively, a complete avulsion of the right upper lobe was noted. Due to the extended time period from original injury and excellent reported functional status, our patient underwent completion lobectomy of the right upper lobe, primary bronchial repair, with an azygous vein flap.
ISSN:2352-6440
2352-6440
DOI:10.1016/j.tcr.2022.100660