An Unusual Presentation of Bronchial Rupture

Göktalay, Tuğba; Yaldız, Sadık; Alpaydın, Aylin Özgen; Göktan, Cihan; Çeli̇k, Pınar

doi:10.4187/respcare.01012

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…The medical literature on the tracheal bifurcation angle offers many discrepancies between reported values [9] with relation to sex- [17,22,25] and age-dependent [13,15,16,18] differences. As reported by Karabulut [17], the 4 tracheo-bronchial angles (right and left bronchial, interbronchial and subcarinal) were significantly greater in females than males.…”

Section: Discussionmentioning

confidence: 99%

“…Most authors have agreed that, irrespective of sex and age, the right bronchial angle was smaller than the left one [9,12,13,15,16,19–21,25,26]. According to Harjeet et al [9], in the 3 groups of fetuses with CRL of 61–130 mm, 131–200 mm, and 201–270 mm, the left bronchial angles were consequently wider than the right ones, and averaged 32.17±6.98° vs. 17.37±7.77°, 33.79±8.57° vs. 19.75±8.73°, and 34.74±3.67° vs. 20.54±1.86°, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…To date, the radiographic and anatomical literature has mainly focused on the tracheal bifurcation angle in neonates, children, and adults [12,15,16,18–22], and to some extent on the fetus [9], mainly based on very subjective methods with the use of protractors and goniometers. Another serious limitation of most radiographic studies is the lack of standardization with respect to the phase of respiration, type of projection, degree of rotation, or posture [13,17,23].…”

Section: Introductionmentioning

confidence: 99%

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Tracheo-bronchial angles in the human fetus – an anatomical, digital, and statistical study

Daroszewski

Szpinda

Flisiński

et al. 2013

Med Sci Monit Basic Res

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BackgroundBoth the advancement of visual techniques and intensive progress in perinatal medicine result in performing airway management in the fetus and neonate affected by life-threatening malformations. This study aimed to examine the 3 tracheo-bronchial angles, including the right and left bronchial angles, and the interbronchial angle, in the fetus at various gestational ages.Material/MethodsUsing methods of anatomical dissection, digital image analysis with an adequate program (NIS-Elements BR 3.0, Nikon), and statistics, values of the two bronchial angles and their sum as the interbronchial angle were semi-automatically measured in 73 human fetuses at the age of 14–25 weeks, derived from spontaneous abortions and stillbirths.ResultsNo male-female differences between the parameters studied were found. The 3 fetal tracheo-bronchial angles were found to be independent of age. The right bronchial angle ranged from 11.4° to 41.8°, and averaged 26.9±7.0° for the whole analyzed sample. The values of left bronchial angle varied from 24.8° to 64.8°, with the overall mean of 46.2±8.0°. As a consequence, the interbronchial angle totalled 36.2–96.6°, and averaged 73.1±12.7°.ConclusionsThe tracheo-bronchial angles change independently of sex and fetal age. The left bronchial angle is wider than the right one. Values of the 3 tracheo-bronchial angles are unpredictable since their regression curves of best fit with relation to fetal age cannot be modelled. Both of the 2 bronchial angles and the interbronchial angle are of great relevance in the location of inhaled foreign bodies, and in the diagnosis cardiac diseases and mediastinal abnormalities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Tracheo-bronchial angles in the human fetus – an anatomical, digital, and statistical study

Daroszewski

Szpinda

Flisiński

et al. 2013

Med Sci Monit Basic Res

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“…Tracheobronchial rupture should be suspected in any patient with pneumothorax, pneumomediastinum, or subcutaneous emphysema on cervical spine and chest radiographs . For patients diagnosed with tracheobronchial rupture, closed chest tube drainage is necessary and may increase the safety of anesthesia induction . If the injury and leakage are severe, positive pressure ventilation with muscle relaxants could not be maintained in the uninjured side of lung even when a chest tube is inserted.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of bronchial rupture following extraction of a fishbone from the bronchus after 5 months

Yang

Liu

2013

Pediatric Anesthesia

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Bronchial rupture occurred during bronchoscopic visualization and extraction of a fishbone from the bronchus in a 2-year-old male patient with a 5-month history of foreign body aspiration. Emergency thoracotomy was scheduled for examination and surgical repair of the bronchus. The pressure of the airway and circuit fell sharply and ventilation could not be maintained after muscle relaxants were injected and spontaneous respiration ceased. Oxygenation worsened rapidly with the peripheral oxygen saturation level decreasing below 60%. An endotracheal tube was inserted into one of the main bronchi. Peripheral oxygen saturation improved from 60% to 90%, and subsequent surgery was performed without complications.

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“…Травматическое повреждение опухоли легкого может приводить к так называемому синдрому спавшегося легкого (fallen lung syndrome). Впервые синдром описали Weisel и Jake в 1953 г. Для него характерно смещение коллабированного легкого к периферии, при этом у 90% взрослых отмечаются переломы ребер [9]. Вероятные причины синдрома: 1) сильная компрессия грудной клетки с уменьшением ее переднезаднего и увеличения латерального размеров; 2) дислокация плевры при фиксированной грудной клетке в случаях внезапного торможения автомобиля; 3) полный или неполный разрыв бронхов, пораженных опухолью [9].…”

Section: разрывы легких пораженных опухольюunclassified

The forensic medical evaluation of traumatic and spontaneous ruptures of the organs affected by the tumours

et al. 2017

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The present article was designed to report the results of the analysis of the cases of traumatic and spontaneous ruptures of the organs affected by the tumours based on the original observations and the literature data. It is shown that the probability of the tumour rupture depends on its histological type, localization, the size, and the distance from the capsule of the affected organ, the degree of involvement of the major blood vessels, the severity of the necrotic changes, the presence of cysts in the neoplasm, and the regimens of radio- and chemotherapy. Moreover, the rupture can be facilitated by anticoagulation therapy, intake or oral contraceptives, pregnancy, concomitant diseases, alcoholic intoxication, splenomegaly, and hypocoagulation resulting from dissemination of the neoplastic process or the metastatic lesions of the liver. Even a minimal injury to the skin can provoke the tumour rupture associated with the fatal hemorrhage. A delayed rupture within a few hours or days is possible.

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An Unusual Presentation of Bronchial Rupture

Cited by 4 publications

References 7 publications

Tracheo-bronchial angles in the human fetus – an anatomical, digital, and statistical study

Tracheo-bronchial angles in the human fetus – an anatomical, digital, and statistical study

Anesthetic management of bronchial rupture following extraction of a fishbone from the bronchus after 5 months

The forensic medical evaluation of traumatic and spontaneous ruptures of the organs affected by the tumours

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