title: Conservative treatment of spontaneous tracheal rupture.
abstract: Spontaneous tracheobronchial ruptures are uncommon injuries, especially in the pediatric age group. Tracheal injuries, independent of their origin, may be life-threatening. Here we present the first report of a 14-year-old boy who presented with subcutaneous emphysema, pneumomediastinum, and pneumothorax on day 3, due to spontaneous posterior tracheal-wall rupture following paroxysmal productive coughing. The diagnosis was established using a computed tomography scan of the chest, and tracheobronchoscopy and esophagoscopy under general anesthesia. He was endotracheally intubated and ventilated in the intensive care unit. Such tracheal defects, bridgeable by an endotracheal tube, may permit conservative treatment. The patient was discharged on day 10, and follow-up revealed no late complications.
authors.affiliation: Department of Anesthesiology and Intensive Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. ahmetmelike@yahoo.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Akyol
authors.forename: Ali
authors.initials: A
authors.lastname: Cay
authors.forename: Mustafa
authors.initials: M
authors.lastname: Imamoglu
authors.forename: Hülya
authors.initials: H
authors.lastname: Ulusoy
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ozen
mesh_terms: D000293:Adolescent; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D012422:Rupture, Spontaneous; D014133:Tracheal Diseases / Q000628:therapy*