기관지 파열 후에 호흡곤란을 보인 재발성 육아조직 1례
A Case of Recurrent Granulation Tissue Showing Dyspnea afterBronchial Rupture
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Rupture of the major airway by blunt chest trauma is uncommon. It can potentially cause serious complications, such as tension pneumothorax or cardiovascular injuries, with an overall mortality rate reaching up to 30%. The etiology of trauma includes fall-down, traffic accidents, cycling and child abuse. Dyspnea was the most common feature, followed by hemoptysis, air leak and chest pain. It is well known that dyspnea after chest trauma is due to accumulation of secretions in the airway, mucosal and cartilaginous injuries and associated parenchymal injuries. In cases of recurrent dyspnea in children irrespective of trauma, we should consider asthma, foreign body aspiration, tracheal stenosis, bronchial tumor, mediastinal tumor, gastroesophageal reflux disease and vascular ring. In this case, we found granulation tissue repeatedly causing obstruction of the airway at the site of rupture after traffic accident. Dyspnea resolved after surgical resection of the granulation tissue. We report a case of recurrent granulation tissue showing dyspnea after bronchial rupture.
Abstract
Rupture of the major airway by blunt chest trauma is uncommon. It can potentially cause serious complications, such as tension pneumothorax or cardiovascular injuries, with an overall mortality rate reaching up to 30%. The etiology of trauma includes fall-down, traffic accidents, cycling and child abuse. Dyspnea was the most common feature, followed by hemoptysis, air leak and chest pain. It is well known that dyspnea after chest trauma is due to accumulation of secretions in the airway, mucosal and cartilaginous injuries and associated parenchymal injuries. In cases of recurrent dyspnea in children irrespective of trauma, we should consider asthma, foreign body aspiration, tracheal stenosis, bronchial tumor, mediastinal tumor, gastroesophageal reflux disease and vascular ring. In this case, we found granulation tissue repeatedly causing obstruction of the airway at the site of rupture after traffic accident. Dyspnea resolved after surgical resection of the granulation tissue. We report a case of recurrent granulation tissue showing dyspnea after bronchial rupture.
참고문헌 (9)
- Balci AE, "Blunt thoracic trauma in children : review of 137 cases", Eur J Cardiothorac Surg, 26, pp.387~392 (2004)
- Kiser AC, "Blunt tracheobronchial injuries: treatment and outcomes", Ann Thorac Surg, 71, pp.2059~2065 (2001)
- Chu CP, "Tracheobronchial injury secondary to blunt chest trauma: diagnosis and management", Anaesth Intensive Care, 30, pp.145~152 (2002)
- Behrman RE, "Nelson textbook of pediatrics. 17th ed", pp.1414~ (2004), Philadelphia: Saunders
- Lee SH, "Surgical treatment of tracheobronchial injury due to blunt trauma", Korean J Thorac Cardiovasc Surg, 29, pp.208~212 (1996)
- John AM, "Rosen's emergency medicine: concepts and clinical practice", pp.392~ (2002), St. Louis: Mosby Inc
- Zinck SE, "Radiographic and CT findings in blunt chest trauma", J Thorac Imaging, 15, pp.87~96 (2000)
- Bumber Z, "Inflammatory pseudotumor of the trachea", J Pediatr Surg, 36, pp.631~634 (2001)
- Al-Qahtani AR, "Endobronchial tumors in children: Institutional experience and literature review", J Pediatr Surg, 38, pp.733~736 (2003)