Ekspanse Akciðer ile Seyreden Sað Ana Bronþ Komplet Rüptürü: Olgu sunumu

17 yaþýnda erkek hasta traktörün göðsünün üzerinden geçmesi sonucu künt travma hikayesi ile hastanemize getirildi. Hasta perifer hastanede tek lümenli endotrakeal tüp ile entübe edilmiþ ve mekanik ventilasyon desteði verilmiþ. Göðüs sað ve sol tarafýna interkostal dren uygulanmýþ. Akciðer grafisinde yaygýn cilt altý amfizem, pnömomediastinum ve sol akciðerinde ekspansiyon kusuru vardý. Fiberoptik bronkoskopi yapýldý. Karina seviyesinde sað ana bronþun trakeadan komplet rüptüre olduðu görüldü. Hastaya acil torakotomi planlandý. Rüptür primer tamir edildi. Postop 7. gün sol akciðerde ekspansiyon kusuru vardý. Hasta tekrar opere edildi. Sol akciðer üst lobdaki nekrotik dokular ve hematom temizlendi. Bu olguda bronkoskopinin trakeobronþial yaralanmanýn teþhisinde en önemli prosedür olduðunu vurguladýk.

Complete Rupture Of Right Main Bronchus Characterized by Expanded Lung: A Case Report

A 17-year-old male patient was admitted to our hospital with history of blunt trauma over chest (run over by a tractor). Patient was first attended at a peripheral hospital where he was intubated with single lumen endotracheal tube and given assisted mechanical ventilation. Intercostal drains were put on right and left side of chest. There were massive subcutaneous emphysema, pneumomediastinum and pneumothorax in left lung on chest X-ray. Fiber-optic bronchoscopy was performed. At the carina level, it was seen that the right main bronchus was completely ruptured from the trachea. Patient was planned for immediate thoracotomy. The rupture was repaired of a primary. On the seventh postoperative day, there was incomplet expansion of the left lung. The patient was reoperated. Necrotic tissues and hematoma in upper lobe of left lung were cleared. In this case, we emphasized that bronchoscopy is the most important procedure in the diagnosis of tracheobronchial injury.