Chest computed tomography with multiplanar reformatted images for diagnosing traumatic bronchial rupture: a case report.

Details

Serval ID
serval:BIB_9AA6C32E0543
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Chest computed tomography with multiplanar reformatted images for diagnosing traumatic bronchial rupture: a case report.
Journal
Critical Care
Author(s)
Le Guen M., Beigelman C., Bouhemad B., Wenjïe Y., Marmion F., Rouby J.J.
ISSN
1466-609X (Electronic)
ISSN-L
1364-8535
Publication state
Published
Issued date
2007
Volume
11
Number
5
Pages
R94
Language
english
Notes
Publication types: Case Reports ; Journal Article
Abstract
INTRODUCTION: Unnoticed bronchial injury during the early stage of resuscitation of multiple trauma is not rare and increases mortality and morbidity. METHODS: Three-dimensional reconstruction of the airways using a workstation connected to a multidetector chest computed tomography (CT) scanner may change the diagnostic strategy in patients with blunt chest trauma with clinical signs evocative of bronchial rupture. RESULTS: In this case report of a young motor biker, a complete disruption of the intermediary trunk was first misdiagnosed using standard chest helical CT and bronchoscopy. Postprocessing procedures including three-dimensional extraction of the tracheobronchial tree were determinants for establishing the diagnosis, and emergent surgical repair was successfully performed. Follow-up using CT with three-dimensional reconstructions evidenced a bronchial stenosis located at the site of the rupture. CONCLUSION: The present study demonstrates the potential interest of performing three-dimensional reconstructions by extraction of the tracheal-bronchial tree in patients with severe blunt chest trauma suspected of bronchial rupture.
Keywords
Adult, Bronchi/injuries, Bronchi/surgery, Bronchography/methods, Bronchoscopy, Humans, Radiographic Image Interpretation, Computer-Assisted, Rupture/radiography, Rupture/surgery, Treatment Outcome
Pubmed
Open Access
Yes
Create date
31/08/2011 12:46
Last modification date
20/08/2019 15:01
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