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Conservative management of iatrogenic tracheal rupture in a 19-month-old child

Tugba Acer-Demir1, Esra Elif Arslan1

  • 1Department of Paediatric Surgery, Baskent University, Ankara, Turkey.

African Journal of Paediatric Surgery : AJPS
|March 1, 2021
PubMed

Insights

This study reports the first pediatric case of iatrogenic tracheal rupture during rigid bronchoscopy successfully treated conservatively. The child recovered spontaneously without intubation, highlighting a less invasive approach for tracheal lacerations.

Area of Science:

  • Pediatric Surgery
  • Respiratory Medicine
  • Medical Devices

Background:

  • Iatrogenic tracheal rupture is a rare but serious complication during rigid bronchoscopy in children.
  • Historically, surgical repair was the standard treatment for tracheal lacerations.

Observation:

  • A 19-month-old girl sustained a 0.5-cm longitudinal mucosal laceration of the trachea during foreign body removal via rigid bronchoscopy.
  • The child maintained adequate spontaneous respiration post-injury.

Findings:

  • Conservative management was initiated due to sufficient spontaneous respiration, avoiding endotracheal intubation.
  • The patient recovered fully without surgical intervention, marking the first reported case of its kind.

Implications:

  • This case suggests that conservative management may be a viable option for pediatric tracheal lacerations when spontaneous respiration is adequate.
  • It challenges the traditional approach favoring early surgical repair in such pediatric cases.
  • Further evidence supporting conservative treatment could refine clinical guidelines for managing iatrogenic tracheal injuries.

Keywords:
Bronchoscopycase reportconservative treatmentforeign bodytracheal laceration

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