Lobar Bronchial Rupture with Persistent Atelectasis after Blunt Trauma
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초록
Rupture limited to the lobar bronchus from blunt trauma is especially rare, and the symptoms are light so diagnosis is difficult. In a patient who visited the hospital complaining of shortness of breath after falling down, atelectasis continued in the chest x-ray. Four days after visiting the hospital, a left upper lobar bronchial rupture was diagnosed through a bronchoscopy and 3 dimensional chest computerized tomography. When diagnosis is delayed in the case of a rupture limited to the lobar bronchus, bronchial obstruction can occur from the formation of granulation tissue, so regular monitoring is important. Therefore, when atelectasis continues after blunt trauma, it is important to differentially diagnose a lobar bronchial rupture through tests such as bronchoscopy.
Abstract
Rupture limited to the lobar bronchus from blunt trauma is especially rare, and the symptoms are light so diagnosis is difficult. In a patient who visited the hospital complaining of shortness of breath after falling down, atelectasis continued in the chest x-ray. Four days after visiting the hospital, a left upper lobar bronchial rupture was diagnosed through a bronchoscopy and 3 dimensional chest computerized tomography. When diagnosis is delayed in the case of a rupture limited to the lobar bronchus, bronchial obstruction can occur from the formation of granulation tissue, so regular monitoring is important. Therefore, when atelectasis continues after blunt trauma, it is important to differentially diagnose a lobar bronchial rupture through tests such as bronchoscopy.
참고문헌 (14)
- Seuvre M, "Crushing injury from the wheel of an omnibus:rupture of right bronchus", Bull Soc Anat Paris, 48, pp.680~ (1873)
- Kiser AC, "Blunt tracheobronchial injuries: treatment and outcomes", Ann Thorac Surg, 71, pp.2059~2065 (2001)
- Bertelsen S, "Injuries of trachea and bronchi", Thorax, 27, pp.188~194 (1972)
- Karmy-Jones R, "Traumatic injury to the trachea and bronchus", Thorac Surg Clin, 17, pp.35~46 (2007)
- Symbas PN, "Rupture of the airways from blunt trauma: treatment of complex injuries", Ann Thorac Surg, 54, pp.177~183 (1992)
- Kirsh MM, "Management of tracheobronchial disruption secondary to nonpenetrating trauma", Ann Thorac Surg, 22, pp.93~101 (1976)
- Amauchi W, "Injuries to the tracheobronchial tree in closed trauma", Thorax, 38, pp.923~928 (1983)
- Chung HS, "Bronchoscopic assessment of the evolution of endobronchial tuberculosis", Chest, 117, pp.385~392 (2000)
- Ayed AK, "Diagnosis and treatment of traumatic intrathoracic major bronchial disruption", Injury, 35, pp.494~499 (2004)
- Taskinen SO, "Tracheobronchial rupture due to blunt chest trauma: a follow-up study", Ann Thorac Surg, 48, pp.846~849 (1989)
- Prokakis C, "Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment", J Cardiothorac Surg, 9, pp.117~ (2014)
- Kirsner KM, "Treatment of tracheal and bronchial tumors and tracheal and bronchial stent placement", AANA J, 78, pp.413~419 (2010)
- Liu YH, "Straight bronchial stent placement across the right upper lobe bronchus: a simple alternative for the management of airway obstruction around the carina and right main bronchus", J Thorac Cardiovasc Surg, 141, pp.303~305 (2011)
- Glazer ES, "Delayed presentation and treatment of tracheobronchial injuries due to blunt trauma", J Surg Educ, 65, pp.302~308 (2008)