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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
PubMed

Insights

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.

Keywords:
Bronchial repairThoracic traumaTracheobronchial injury

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