Boukhidous Latifa, Kharouaa Badr, Zarouki Sara, Marouf Rachid, Thouil Afaf, Kouismi Hatim
Department of Respiratory Diseases, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, MAR.
Department of Thoracic and Cardio-Vascular Surgery, Faculty of Medicine and Pharmacy of Oujda, Mohammed VI University Hospital, Mohammed First University, Oujda, MAR.
Cureus. 2023 May 24;15(5):e39452. doi: 10.7759/cureus.39452. eCollection 2023 May.
Tracheobronchial injury is a rare but potentially fatal occurrence, with most cases resulting from penetrating trauma or blunt and iatrogenic injury during medical procedures such as endotracheal intubation, bronchoscopy, or surgery. Early recognition of clinical symptoms can help stratify patient risk and guide management, though these symptoms are often non-specific. We report the case of a 42-year-old patient who presented with post-traumatic chest pain from a sharp object. Radiographic investigation revealed pneumomediastinum and significant subcutaneous emphysema, while bronchial fibroscopy confirmed a wound on the posterior surface of the trachea. The patient underwent surgery with an uneventful postoperative course. Follow-up radiographic evaluation three weeks later showed healing of the tracheal wound and good clinical improvement.
气管支气管损伤是一种罕见但可能致命的情况,大多数病例是由穿透性创伤、钝性伤以及诸如气管插管、支气管镜检查或手术等医疗操作中的医源性损伤引起的。尽管这些症状通常不具有特异性,但早期识别临床症状有助于对患者风险进行分层并指导治疗。我们报告一例42岁患者,其因锐器导致创伤后胸痛。影像学检查显示纵隔气肿和明显的皮下气肿,而支气管纤维镜检查证实气管后表面有伤口。该患者接受了手术,术后过程顺利。三周后的随访影像学评估显示气管伤口愈合,临床状况明显改善。