Bronchial injury: Difference between revisions
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==Background== | ==Background== | ||
[[File:Main bronchus laceration 2.jpg|thumb|Diagram of a left main bronchus laceration, with [[pneumothorax]] and a chest tube for treatment.]] | [[File:Main bronchus laceration 2.jpg|thumb|Diagram of a left main bronchus laceration, with [[pneumothorax]] and a chest tube for treatment.]] | ||
[[File:Tracheobronchial rupture 3D CT 3.jpg|thumb|CT reconstruction of the trachea and bronchi showing disruption of the right main bronchus with abnormal lucency (arrow).]] | |||
*Primarily due to rapid deceleration | *Primarily due to rapid deceleration | ||
*Most occur within 2cm of carina | *Most occur within 2cm of carina | ||
Revision as of 13:47, 10 April 2021
Background
Diagram of a left main bronchus laceration, with pneumothorax and a chest tube for treatment.
- Primarily due to rapid deceleration
- Most occur within 2cm of carina
Clinical Features
- Dyspnea, hemoptysis, subcutaneous emphysema, sternal tenderness
- Pneumothorax, pneumomediastinum
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
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