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Tracheobronchial rupture due to blunt trauma in children: report of two cases

A Cay1, M Imamoğlu, H Sarihan

  • 1Department of Pediatric Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|January 28, 2003
PubMed

Insights

Blunt chest trauma can cause rare tracheobronchial injuries in children. Early diagnosis via bronchoscopy is key for managing tracheal rupture and bronchial disruption, with surgical repair often necessary for bronchial injuries.

Area of Science:

  • Pediatric Trauma Surgery
  • Thoracic Surgery
  • Emergency Medicine

Background:

  • Tracheobronchial tree injuries are infrequent complications of blunt chest trauma.
  • These injuries are particularly uncommon in pediatric patients.
  • Prompt recognition and management are crucial for favorable outcomes.

Observation:

  • Two pediatric cases of tracheobronchial injury are presented: one tracheal rupture and one main right bronchial disruption.
  • Patients presented with significant emphysema (mediastinal, subcutaneous, soft-tissue), pneumomediastinum, and tension pneumothorax.
  • A massive air leak despite chest tubes suggested major airway injury in the bronchial disruption case.

Findings:

  • Bronchoscopy confirmed the diagnoses in both cases.
  • The patient with bronchial disruption underwent thoracotomy and primary repair.
  • The patient with tracheal rupture was managed non-operatively with early bronchoscopic diagnosis.

Implications:

  • This report highlights the importance of considering tracheobronchial injuries in pediatric blunt chest trauma.
  • Early bronchoscopic evaluation is vital for accurate diagnosis and timely intervention.
  • Non-operative management may be feasible for certain tracheal injuries, while bronchial disruptions often require surgical repair.

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