THE ROLE OF MULTISLICE COMPUTED TOMOGRAPHY IN THE EMERGENCY DIAGNOSIS OF THE TRACHEOBRONCHIAL INJURY AFTER ENDOTRACHEAL INTUBATION - CASE REPORT
Tracheobronchial injury (TBI) is a rare complication occurring after endotracheal intubation. Treatment can be conservative for small lesions and when the patient’s condition is stable, or surgical for bigger lesions and when pneumomediastinum and/or subcutaneous emphysema threaten the patient’s lif...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University in Nis, Faculty of Medicine
2015-03-01
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| Series: | Acta Medica Medianae |
| Subjects: | |
| Online Access: | http://publisher.medfak.ni.ac.rs/2015-html/1-broj/Aleksandar%20Karanikolic%20THE%20ROLE%20OF%20MULTISLICE.pdf |
| Summary: | Tracheobronchial injury (TBI) is a rare complication occurring after endotracheal intubation. Treatment can be conservative for small lesions and when the patient’s condition is stable, or surgical for bigger lesions and when pneumomediastinum and/or subcutaneous emphysema threaten the patient’s life. Total thyroidectomy was performed in a 60-year-old woman with multinodular goiter. Ten hours after surgery, subcutaneous emphysema of the face and neck developed. A cervical and thoracic multislice computed tomography (MSCT) confirmed subcutaneous emphysema, pneumomediastinum, and posterior wall tracheal rupture 2cm in size. The patient was treated conservatively. The MSCT imaging can be a useful method for diagnosing the location and form of tracheal injury in hemodynamically stable patients. |
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| ISSN: | 0365-4478 1821-2794 |