Tracheobronchial injury (TBI) is a potentially life-threatening injury that can result from either penetrating or blunt trauma. We report a case of a tracheal rupture occurring after a closed chest trauma to a young male patient, revealed after oral intubation, for an elective surgical management of pneumothorax. The trauma occurred 15 days before surgery, the pneumothorax was drained initially, faced with continuous bubbling and absence of pulmonary re expansion, the surgical indication was retained. The diagnosis of tracheal rupture was suspected a few minutes after tracheal intubation given the tidal volume gap displayed by the spirometry monitor and the aspiration through the tracheal tube of pleural effusion fluid. The rupture was confirmed during surgical exploration after urgent thoracotomy and which found disrepair involving the posterior face of the trachea, the carina and the initial segment of the right main bronchus.
Bassam Bencharf (Tue,) studied this question.
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