[Left bronchial resection with bronchial anastomosis in a patient with posttraumatic bronchial stenosis].
We present the case of a 25 year old patient, who suffered a car accident two month before he came to our hospital. At that moment, he had multiple costal fractures and left haemothorax, resolved by surgical means. At the actual presentation: dullness in the inferior half of left hemithorax, abolished breath sounds at this level. Radiologic--left lung atelectasis, bronchoscopic examination revealed--complete stenosis of the main left bronchus, while computer tomography has shown complete obstruction of the main left bronchus, at 1.7-2 cm from the carina. Fibrosis after posttraumatic bronchial disruption was the cause of the stenosis. Surgical treatment was the choice, with segmental resection of the main left bronchus and reanastomosis; the permeability was maintained on a month after the surgical intervention.
Dragomir
Antonela
A
Secţia Pneumologie 3, Institutul de Pneumologie M. Nasta Bucureşti.
Ciontu
Mirela
M
Cordoş
Ion
I
Alexe
Mihai
M
Mihălţan
Florin
F
D000063:Accidents, Traffic; D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D001980:Bronchi / Q000293:injuries* / Q000601:surgery*; D001982:Bronchial Diseases / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D001999:Bronchoscopy; D003251:Constriction, Pathologic / Q000209:etiology; D005355:Fibrosis / Q000209:etiology; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D001261:Pulmonary Atelectasis / Q000209:etiology; D012086:Reoperation; D013898:Thoracic Injuries / Q000601:surgery; D016896:Treatment Outcome