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KMID : 0364020180510030216
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 3 p.216 ~ p.219
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Right Main Bronchus Rupture Presenting with Pneumoperitoneum
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Hong Seok-Beom
Lee Ji-Yoon
Lee June
Choi Kuk-Bin
Suh Jong-Hui
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Abstract
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We report the case of a 16-year-old male patient who was involved in a traffic accident and transferred to the emergency department with mild chest pain. We initially did not find evidence of tracheal injury on computed tomography (CT). Within an hour after presentation, the patient developed severe dyspnea and newly developed subcutaneous emphysema and pneumoperitoneum were discovered. Abdominal CT showed no intra-abdominal injury. However, destruction of the right main bronchus was identified on coronal images of the initially performed CT scan. Emergency exploratory surgery was performed. The amputated right main bronchus was identified. End-to-end tracheobronchial anastomosis was performed, and the patient recovered without any complications.
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KEYWORD
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Bronchial diseases, Tracheal injury, Blunt trauma
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