A review of 24 patients with bronchial ruptures: is delay in diagnosis more common in children?

Abstract

The susceptibility of children to delays is emphasized and the possible causes are discussed in the light of world literature. Simple approaches to minimize the number of misdiagnosed pediatric cases are highlighted.

An Unusual Case for Thoracic Surgeons: Bronchial Rupture in a Child due to Blunt Chest Trauma

“…Rupture of the central airways is more common in children than in adults, since the child's thoracic cage is more elastic, and as a result, the chest wall is forced against the vertebral spine compressing the trachea and main bronchi during blunt traumas more easily (1,6). The male-to-female ratio in the pediatric age group is 2:1 or higher.…”

“…This rare thoracic surgery case of pediatric patients is discussed in light of recent literature for diagnosis and surgical management. Blunt trauma to the chest resulting in rupture of a major bronchus is rare (1). Furthermore, bronchial rupture in children is exceptional (2).…”

Complete bronchial rupture in a child: report of a case

“…Although children are more susceptible than adults to thoracic visceral injuries because of the elasticity of their thoracic cages, bronchial ruptures are rare, even in severe thoracic injuries [1]. The incidence is about 0.7-2.8% according to different investigators [4,5].…”

“…Tracheobronchial ruptures are rare and life-threatening injuries, especially in the pediatric age group [1,2]. Because symptoms and findings vary depending on the rupture's size and the accompanying lesions, diagnosis is generally delayed, and thus is the major cause of high mortality [2,3].…”

Problem with ‘A review of 24 patients with bronchial ruptures: is delay in diagnosis more common in children?’

“…Lastly, the same but re-updated patient groups of TTBR was published in this journal in 2003 [4], where I studied the topic from a different perspective definitely not comparable either to our previous publications or to the thesis.…”