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Erschienen in: Wiener klinische Wochenschrift 7-8/2015

01.04.2015 | images in clinical medicine

Complete rupture of the right upper lobe bronchus due to blunt thoracic trauma

verfasst von: MD Nurettin Yiyit, MD Muzaffer Saglam, MD Rauf Gorur

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 7-8/2015

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A 20-year-old male patient was admitted to our department with signs of infection. Four months previously, he had been treated with tube drainage for bilateral pneumothorax after being crushed between two vehicles. Right upper lobe atelectasis was the first diagnosis on chest radiography (Fig.  1). Computed tomography of the thorax revealed a rupture of the right upper lobe bronchus, especially with multiplanar reconstructions and minimum-intensity projection images (Fig.  2a and b). Complete separation of the right upper lobar bronchus was confirmed by bronchoscopy, which showed only a blind-ended stump. Our initial goal was bronchial anastomosis via a right thoracotomy; but this could not be achieved due to the distorted and fibrous components of the bronchus as a result of the delayed diagnosis (Fig.  3). So, right upper lobectomy was performed.
Literatur
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Zurück zum Zitat Gabor S, Renner H, Pinter H, Sankin O, Maier A, Tomaselli F, Smolle Jüttner FM. Indications for surgery in tracheobronchial ruptures. Eur J Cardiothorac Surg. 2001;20:399–404. CrossRefPubMed Gabor S, Renner H, Pinter H, Sankin O, Maier A, Tomaselli F, Smolle Jüttner FM. Indications for surgery in tracheobronchial ruptures. Eur J Cardiothorac Surg. 2001;20:399–404. CrossRefPubMed
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Zurück zum Zitat Kiser AC, O’Brien SM, Detterbeck FC. Blunt tracheobronchial injuries: treatment and outcomes. Ann Thorac Surg. 2001;71:2059–65. CrossRefPubMed Kiser AC, O’Brien SM, Detterbeck FC. Blunt tracheobronchial injuries: treatment and outcomes. Ann Thorac Surg. 2001;71:2059–65. CrossRefPubMed
Metadaten
Titel
Complete rupture of the right upper lobe bronchus due to blunt thoracic trauma
verfasst von
MD Nurettin Yiyit
MD Muzaffer Saglam
MD Rauf Gorur
Publikationsdatum
01.04.2015
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 7-8/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-014-0650-1

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