Delayed Tension Pneumothorax – Identification and Treatment in Traumatic Bronchial Injury: An Interesting Presentation
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 9
Abstract
A 13-year-old girl, who did not receive any treatment for few hours following Road Traffic Injury (RTI), reported to the Casualty Department and found to have patent airway with clinically normal C spine, air-hunger (RR 42/minute), trachea deviated to left, distended neck veins and absent breath sounds on the right side. The chest X-ray she carried, done immediately after the injury, showed right sided tension pneumothorax. She was put on oxygen at 11 L/minute and an Intercostal chest tube drainage (ICD) was inserted on right side. Her oxygen saturation (40%) failed to improve. ICD bag showed continuous bubbling and air entry remained absent on the right side. An urgent right thoracotomy was done which revealed right main bronchus tear; the tear was repaired using interrupted Prolene® sutures. Patient recovered well and was discharged 10 days later in a stable condition.
Authors and Affiliations
AMIT GUPTA, AMULYA RATTAN, SUNIL KUMAR, VINITA RATHI
Keywords
Related Articles
- EP ID EP363377
- DOI 10.7860/JCDR/2017/27859.10642
- Views 58
- Downloads 0
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