Blunt traumatic rupture of a mainstem bronchus: spiral CT demonstration of the "fallen lung" sign

Wintermark, Max; Schnyder, P.; Wicky, S.

doi:10.1007/s003300000581

Cited by 38 publications

(19 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…X-rays and CT scanning may be helpful. Although CT can show the small tears that cannot be seen with bronchoscopy, the best diagnostic method is fiberendoscopy [3,4,8,9]. However, in the emergency situation fiberendoscopy may not be appropriate; this step may be omitted and thoracotomy performed depending on the patient's clinical condition, as with our patient [10].…”

Section: Discussionmentioning

confidence: 81%

Complete bronchial rupture in a child: report of a case

et al. 2005

View full text Add to dashboard Cite

Tracheobronchial rupture due to blunt chest trauma is a rare and serious injury in children. The diagnosis is usually difficult and may be overlooked because of the variability of symptoms and findings. Fiberendoscopy is useful in children with stable tracheal or bronchial ruptures. However, in the emergency situation, fiberendoscopy may not be appropriate, and thoracotomy and primary anastomosis may be the best option.

show abstract

Section: Discussionmentioning

confidence: 81%

Complete bronchial rupture in a child: report of a case

et al. 2005

View full text Add to dashboard Cite

show abstract

“…6,10,11 When a complete transection of the main stem bronchus occurs, the superior margin of the collapsed lung characteristically drops below the level of the transected bronchus, which is called "fallen lung sign." [10][11][12][13] Our patient initially had pneumomediastinum and bilateral tension pneumothorax without demonstrating fallen lung sign. There are few references to the presentation of a main bronchial rupture with bilateral tension pneumothorax, as occurred in our patient.…”

Section: Discussionmentioning

confidence: 94%

Tracheobronchial Rupture due to Blunt Chest Trauma: Report of a Case

et al. 2006

View full text Add to dashboard Cite

Tracheobronchial injuries following blunt chest trauma are uncommon in children. The involvement of both the trachea and right main bronchus separately is highly unusual. We herein report the case of a 13-year-old boy who presented with both a tracheal and right main bronchial rupture following blunt chest trauma. While the tracheal laceration required a tracheotomy, a delayed repair of right main bronchial disruption was performed with a complete preservation of the right lung. The features of this uncommon entity are discussed, with special emphasis on early diagnosis and surgical management.

show abstract

“…It may show pneumoderm, pneumomediastinum, pneumothorax, pulmonary atelectasis, respiratory tree deviation or specific site of the separation. Complete disconnection of the main stem bronchi may make for the typical findings of atelectasis, "absent hilum" or collapsing of the lung away from the hilum towards to diaphragm is the classic imaging manifestations features of main stem bronchus injuries and known as "falling lung sign of Kumpe" (13). Pneumothorax, especially intractable pneumothorax with prolonged air leakage, should increase the suspicion of main stem bronchial injuries.…”

Section: Discussionmentioning

confidence: 99%

Clinical analysis of eight patients with blunt main stem bronchial injuries

et al. 2017

View full text Add to dashboard Cite

Background: Blunt main stem bronchial injuries are rare but potentially life-threatening injuries in clinical. The aim of this study was to sum up the experience on diagnosis and treatment of blunt main stem bronchial injuries. Methods: This report retrospective1y analyzed eight cases of main stem bronchial injuries induced by blunt chest trauma between 2013 and 2016 in Tangdu Hospital, Fourth Military Medical University. Results: There were eight patients, including four men and four women. The definitive diagnosis was confirmed by fibrobronchoscopy. Mean time between injury and treatment in our hospital was 4.25 days (range, 1-12 days). Mean length of airway tear was 1.04 cm (range, 0.5-2 cm). In four patients there was an injury to the left main stem bronchus, in three patients to the right main stem bronchus and in one patient to the ambilateral main stem bronchus. Emergent operation was performed in two patients and elective operation in six patients. End to end bronchial anastomosis was performed via right thoracotomy in two patients and via left thoracotomy in three patients, and primary repair was performed via right thoracotomy in two patients and via left thoracotomy in the remaining one patient. There was no death in this group.Seven patients had no complications and were able to take part in normal activities. One patient suffered from anastomotic stricture after operation was healed by granulation tissue resection and cryotherapy under fibrobronchoscopy.Conclusions: Fibrobronchoscopy is able to define the blunt main stem bronchial injuries precisely and surgical approach is the preferred method for patients with these life-threatening complications.

show abstract

Blunt traumatic rupture of a mainstem bronchus: spiral CT demonstration of the "fallen lung" sign

Cited by 38 publications

References 9 publications

Complete bronchial rupture in a child: report of a case

Complete bronchial rupture in a child: report of a case

Tracheobronchial Rupture due to Blunt Chest Trauma: Report of a Case

Clinical analysis of eight patients with blunt main stem bronchial injuries

Contact Info

Product

Resources

About