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Diagnosis of complete mainstem bronchus avulsion by 3-dimensional spiral CT scan of the chest.

Authors
  • Baisi, A1
  • Nosotti, M
  • Cioffi, U
  • De Simone, M
  • Rosso, L
  • Cappelletti, M
  • Triggiani, M
  • Santambrogio, L
  • 1 Ospedale Maggiore di Milano, IRCSS, Thoracic Surgery Unit, University of Milan, Milan, Italy. [email protected] , (Italy)
Type
Published Article
Journal
Minerva chirurgica
Publication Date
Aug 01, 2003
Volume
58
Issue
4
Pages
587–589
Identifiers
PMID: 14603173
Source
Medline
Language
English
License
Unknown

Abstract

Tracheobronchial injury (TBI) after blunt trauma of the chest is a rare life-threatening entity that can be successfully managed by surgery if there is an early diagnosis. A 18-year-old man was injured in a motocycle accident. Three consecutive flexible bronchoscopies risulted negative for tracheo-bronchial lesions. Then, the patient was submitted to a spiral CT-scan of the chest with 3-dimensional reconstruction of the tracheobronchial tree that showed a rupture of the right main bronchus from the trachea. The lesion was successfully treated by surgery. Bronchoscopic findings in TBI may be unclear also for an experienced thoracic surgeon.

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