Complete laceration of the middle lobe bronchus caused by blunt trauma

Kohei Hashimoto, Takashi Ohtsuka, Taichiro Goto, Masaki Anraku, Mitsutomo Kohno, Yotaro Izumi, Hiroaki Nomori

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Bronchial ruptures due to blunt trauma are rarely encountered injuries. A previously healthy 42-year-old man fell from heights of 8 meters. A prompt chest tube-drainage for suspected right sided tension pneumothorax and a tracheal intubation were performed. Massive air leak and pneumothorax of the right lung continued. Laceration of the tracheobronchial tree was suspected. Operation was performed 20 hours after patient's arrival. The complete avulsion of the middle lobe bronchus was identified during operation, and a middle lobectomy was performed. The patient was transferred to a rehabilitation hospital on 20th post-operative day without complication. Early decision making for surgery resulted in a good outcome. When a complete atelectasis of the whole right lung and a massive air leakage continues despite appropriate chest-tube drainage in a blunt trauma patient, laceration of the tracheo-bronchial tree should be suspected.

Original languageEnglish
Pages (from-to)148-150
Number of pages3
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume19
Issue number2
DOIs
Publication statusPublished - 2013 Apr 19

Fingerprint

Lacerations
Bronchi
Chest Tubes
Pneumothorax
Drainage
Wounds and Injuries
Air
Lung
Pulmonary Atelectasis
Intubation
Rupture
Decision Making
Rehabilitation

Keywords

  • Blunt trauma
  • Tension pneumothorax
  • Tracheobronchial laceration

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Gastroenterology

Cite this

Hashimoto, K., Ohtsuka, T., Goto, T., Anraku, M., Kohno, M., Izumi, Y., & Nomori, H. (2013). Complete laceration of the middle lobe bronchus caused by blunt trauma. Annals of Thoracic and Cardiovascular Surgery, 19(2), 148-150. https://doi.org/10.5761/atcs.cr.12.01936

Complete laceration of the middle lobe bronchus caused by blunt trauma. / Hashimoto, Kohei; Ohtsuka, Takashi; Goto, Taichiro; Anraku, Masaki; Kohno, Mitsutomo; Izumi, Yotaro; Nomori, Hiroaki.

In: Annals of Thoracic and Cardiovascular Surgery, Vol. 19, No. 2, 19.04.2013, p. 148-150.

Research output: Contribution to journalArticle

Hashimoto, K, Ohtsuka, T, Goto, T, Anraku, M, Kohno, M, Izumi, Y & Nomori, H 2013, 'Complete laceration of the middle lobe bronchus caused by blunt trauma', Annals of Thoracic and Cardiovascular Surgery, vol. 19, no. 2, pp. 148-150. https://doi.org/10.5761/atcs.cr.12.01936
Hashimoto, Kohei ; Ohtsuka, Takashi ; Goto, Taichiro ; Anraku, Masaki ; Kohno, Mitsutomo ; Izumi, Yotaro ; Nomori, Hiroaki. / Complete laceration of the middle lobe bronchus caused by blunt trauma. In: Annals of Thoracic and Cardiovascular Surgery. 2013 ; Vol. 19, No. 2. pp. 148-150.
@article{d3f1c5c13f4745bea681c83c7a872348,
title = "Complete laceration of the middle lobe bronchus caused by blunt trauma",
abstract = "Bronchial ruptures due to blunt trauma are rarely encountered injuries. A previously healthy 42-year-old man fell from heights of 8 meters. A prompt chest tube-drainage for suspected right sided tension pneumothorax and a tracheal intubation were performed. Massive air leak and pneumothorax of the right lung continued. Laceration of the tracheobronchial tree was suspected. Operation was performed 20 hours after patient's arrival. The complete avulsion of the middle lobe bronchus was identified during operation, and a middle lobectomy was performed. The patient was transferred to a rehabilitation hospital on 20th post-operative day without complication. Early decision making for surgery resulted in a good outcome. When a complete atelectasis of the whole right lung and a massive air leakage continues despite appropriate chest-tube drainage in a blunt trauma patient, laceration of the tracheo-bronchial tree should be suspected.",
keywords = "Blunt trauma, Tension pneumothorax, Tracheobronchial laceration",
author = "Kohei Hashimoto and Takashi Ohtsuka and Taichiro Goto and Masaki Anraku and Mitsutomo Kohno and Yotaro Izumi and Hiroaki Nomori",
year = "2013",
month = "4",
day = "19",
doi = "10.5761/atcs.cr.12.01936",
language = "English",
volume = "19",
pages = "148--150",
journal = "Annals of Thoracic and Cardiovascular Surgery",
issn = "1341-1098",
publisher = "Japanese Association for Coronary Artery Surgery",
number = "2",

}

TY - JOUR

T1 - Complete laceration of the middle lobe bronchus caused by blunt trauma

AU - Hashimoto, Kohei

AU - Ohtsuka, Takashi

AU - Goto, Taichiro

AU - Anraku, Masaki

AU - Kohno, Mitsutomo

AU - Izumi, Yotaro

AU - Nomori, Hiroaki

PY - 2013/4/19

Y1 - 2013/4/19

N2 - Bronchial ruptures due to blunt trauma are rarely encountered injuries. A previously healthy 42-year-old man fell from heights of 8 meters. A prompt chest tube-drainage for suspected right sided tension pneumothorax and a tracheal intubation were performed. Massive air leak and pneumothorax of the right lung continued. Laceration of the tracheobronchial tree was suspected. Operation was performed 20 hours after patient's arrival. The complete avulsion of the middle lobe bronchus was identified during operation, and a middle lobectomy was performed. The patient was transferred to a rehabilitation hospital on 20th post-operative day without complication. Early decision making for surgery resulted in a good outcome. When a complete atelectasis of the whole right lung and a massive air leakage continues despite appropriate chest-tube drainage in a blunt trauma patient, laceration of the tracheo-bronchial tree should be suspected.

AB - Bronchial ruptures due to blunt trauma are rarely encountered injuries. A previously healthy 42-year-old man fell from heights of 8 meters. A prompt chest tube-drainage for suspected right sided tension pneumothorax and a tracheal intubation were performed. Massive air leak and pneumothorax of the right lung continued. Laceration of the tracheobronchial tree was suspected. Operation was performed 20 hours after patient's arrival. The complete avulsion of the middle lobe bronchus was identified during operation, and a middle lobectomy was performed. The patient was transferred to a rehabilitation hospital on 20th post-operative day without complication. Early decision making for surgery resulted in a good outcome. When a complete atelectasis of the whole right lung and a massive air leakage continues despite appropriate chest-tube drainage in a blunt trauma patient, laceration of the tracheo-bronchial tree should be suspected.

KW - Blunt trauma

KW - Tension pneumothorax

KW - Tracheobronchial laceration

UR - http://www.scopus.com/inward/record.url?scp=84876490599&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876490599&partnerID=8YFLogxK

U2 - 10.5761/atcs.cr.12.01936

DO - 10.5761/atcs.cr.12.01936

M3 - Article

C2 - 22971710

AN - SCOPUS:84876490599

VL - 19

SP - 148

EP - 150

JO - Annals of Thoracic and Cardiovascular Surgery

JF - Annals of Thoracic and Cardiovascular Surgery

SN - 1341-1098

IS - 2

ER -