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CURRENT ISSUEMINERVA CHIRURGICA

A Journal on Surgery


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Minerva Chirurgica 2003 August;58(4):587-90

language: English

Diagnosis of complete mainstem bronchus avulsion by 3-dimensional spiral CT scan of the chest

Baisi A., Nosotti M., Cioffi U., De Simone M., Rosso L., Cappelletti M., Triggiani M., Santambrogio L.


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Tracheobronchial injury (TBI) after blunt trauma of the chest is a rare life-threatening entity that can be successfully managed by surgery if there is an early diagnosis. A 18-year-old man was injured in a motocycle accident. Three consecutive flexible bronchoscopies risulted negative for tracheo-bronchial lesions. Then, the patient was submitted to a spiral CT-scan of the chest with 3-dimensional reconstruction of the tracheobronchial tree that showed a rupture of the right main bronchus from the trachea. The lesion was successfully treated by surgery. Bronchoscopic findings in TBI may be unclear also for an experienced thoracic surgeon.

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