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Traumatic Bronchial Transection: Surgical Repair after a Delayed Diagnosis in a Child
Aditya Bimal Shastri1, Nitin James Peters1, Preethy J Mathew2
1Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Delayed diagnosis of tracheobronchial injury in children can be life-threatening. Prompt evaluation and surgical repair of bronchial transection after blunt chest trauma are crucial for successful lung recovery and salvage.
Area of Science:
- Pediatric Surgery
- Thoracic Trauma
- Respiratory Medicine
Background:
- Tracheobronchial injuries are rare but severe complications of blunt chest trauma in children.
- Delayed diagnosis can lead to significant morbidity and mortality.
Abstract:
Tracheobronchial injuries in children following blunt chest trauma are rare and often life-threatening. A 3-year-old boy presented with a delayed diagnosis of right main bronchus transection, 8 months postinjury. Initial symptoms were minimal and managed expectantly. Imaging and bronchoscopy confirmed primary bronchial transection. Surgical repair was performed through a right thoracotomy with end-to-end bronchial anastomosis, resulting in successful lung re-expansion and recovery. This case highlights the importance of high clinical suspicion and thorough evaluation in posttrauma patients leading to lung salvageability.
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