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Delayed repair of posttraumatic bronchial transection
Vishesh Jain1, Mamta Sengar, Anup Mohta
1Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi 110031, India. dr.vishesh79@gmail.com
Journal of Pediatric Surgery
|July 31, 2013
Summary
Delayed repair of tracheobronchial injuries (TBI) in a child successfully restored lung function after blunt chest trauma. This case demonstrates that surgical intervention can be a viable alternative to lung removal for late-diagnosed TBIs.
Area of Science:
- Trauma Surgery
- Pediatric Surgery
- Thoracic Surgery
Background:
- Tracheobronchial injuries (TBIs) are rare but life-threatening consequences of blunt thoracic trauma.
- Delayed diagnosis of TBIs can lead to significant respiratory complications and long-term sequelae.
- Conservative management with intercostal tubes may be insufficient for complete bronchial obstruction.
Observation:
- A 3-year-old boy presented with respiratory distress, pneumothorax, and subcutaneous emphysema following blunt thoracic injury.
- Persistent right lung collapse and respiratory distress prompted bronchoscopy.
- Bronchoscopy revealed a complete obstruction of the right main bronchus.
Findings:
- Surgical exploration via thoracotomy identified a transected right main bronchus.
- Anastomosis of the transected bronchial ends was performed.
- Postoperative recovery showed complete right lung expansion and resolution of respiratory distress.
Implications:
- Delayed surgical repair of tracheobronchial injuries is a feasible and effective treatment.
- Anastomosis offers a lung-sparing alternative to pneumonectomy in selected cases of TBI.
- This case underscores the importance of timely diagnosis and intervention for pediatric tracheobronchial injuries.
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