Lately Recognized Left Main Bronchial Rupture and Fail Chest

Ming-Ho Wu and Han-Yun Wu NP

Department of Surgery, Tainan Municipal Hospital, Taiwan

^*Correspondance to: Ming-Ho Wu 

 PDF  Full Text DOI: 10.25107/2474-1647.1412

Abstract

Blunt bronchial rupture and flail chest are usually early detected and managed. However, in multiple trauma patients, bronchial rupture and flail chest could be lately diagnosed. Herein, we present a 50-year-old woman who had multiple trauma caused by traffic accident. In this patient, left main bronchial rupture was lately detected at the first aid hospital. Furthermore, the flail chest was confirmed after bronchoplasty of left main bronchus at the referred hospital. Reasons of delayed diagnosis of left main bronchial rupture are lack of significant pneumothorax and pneumomediastinum. Reasons of delayed diagnosis of flail chest are the patient was initially on ventilator support and the ribs fracture occurred at the costo-cartilages.

Keywords

Bronchial rupture; Flail chest; Bronchoplasty; Chest wall fixation

Cite the article

Ming-Ho Wu, Han-Yun Wu NP. Lately Recognized Left Main Bronchial Rupture and Fail Chest. Clin Surg. 2017; 2: 1412.