Tracheobronchial rupture due to blunt trauma in children: Report of two cases

Cay A., Imamoglu M., Sarihan H., Kosucu P., Bektas D.

EUROPEAN JOURNAL OF PEDIATRIC SURGERY, vol.12, no.6, pp.419-422, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 6
  • Publication Date: 2002
  • Doi Number: 10.1055/s-2002-36857
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.419-422
  • Keywords: tracheobronchial injury, blunt chest trauma, bronchial rupture, tracheal rupture, children, CHEST TRAUMA, INJURIES
  • Karadeniz Technical University Affiliated: No


Tracheobronchial tree injuries occur in a small number of patients after blunt chest trauma, and their occurrence is uncommon in the pediatric trauma population. The authors report two mate children, one with a tracheal rupture, and the other with disruption of the main right bronchus. Mediastinal and subcutaneous emphysema resulting in airway obstruction were noted in Case 1 and soft-tissue emphysema, pneumomediastinum and tension pneumothorax were evident in Case 2 at the time of presentation. In the child with bronchial disruption, a major airway injury was suspected early on, because of a massive air leak despite two properly placed chest tubes. The definitive diagnosis was established bronchoscopically, and thoracotomy and primary repair were performed. The child with rupture of the posterior tracheal wall was diagnosed at an early stage by bronchoscopy and he was successfully managed without surgery.