A Case of Blunt Tracheobronchial Injury with Right Massive Pneumothorax and Lung Atelectasis

Sanjay Shah*, Shivali Kakadiya and Vineet Rajput

Department of Emergency, Apollo International Hospital, India

^*Correspondance to: Sanjay Shah 

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Abstract:

Blunt Tracheobronchial Injury (TBI) is usually not found common injury in civilian cases, but must be suspected to make diagnosis and managed as early as possible. In such a case, primary initial goals are to stabilize the airway and localize the injury and then determine its extent. This can be possible mostly with Computed Tomography (CT) scan of chest and flexible bronchoscopy. Usually penetrating injury occurs in cervical or upper thoracic region. On the other hand, blunt injuries occur in distal trachea and right main bronchus and they can be best approached by right posterolateral thoracotomy. The selection of manner and time of approaching depends on the existence and severity of additional injuries. Most of the injuries can be restored by deploying simple techniques such as primary repair, while some of them requires complex reconstruction technique apart from attention to pulmonary toilet, follow up is crucial for stenosis at anastomotic site.

Keywords:

Blunt tracheobronchial injury; fiberoptic bronchoscopy; Thoracotomy

Cite the Article:

Shah S, Kakadiya S, Rajput V. A Case of Blunt Tracheobronchial Injury with Right Massive Pneumothorax and Lung Atelectasis. Ann Clin Case Rep. 2021; 6: 2061..