Bronchial injury

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Background

Trachobronchial anatomy.
CT reconstruction of the trachea and bronchi showing disruption of the right main bronchus with abnormal lucency (arrow).
  • Primarily due to rapid deceleration
  • Most occur within 2cm of carina

Clinical Features

Differential Diagnosis

Thoracic Trauma

Evaluation

Coronal CT chest view demonstrating left pneumothorax, extensive soft tissue emphysema, and left main bronchus disruption.
Axial CT chest view of a patient with a left main bronchus injury (not shown) demonstrating left pneumothorax, and soft tissue emphysema.

Management

  • All lacerations of the bronchi involving more than 1/3 of the circumference need surg

Disposition

See Also

References