ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
A rare localization of the bronchial rupture: middle lobe bronchus
Necdet Öz1, Ahmet Bülent Kargı2, Bülent Tütüncü1, Alpay Sarper3
1Atatürk Devlet Hastanesi, Göğüs Cerrahisi Kliniği, Antalya, Türkiye
2Medikalpark Hastanesi, Göğüs Cerrahisi Kliniği, Antalya, Türkiye
3Akdeniz Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Antalya, Türkiye
DOI : 10.5606/tgkdc.dergisi.2013.4342
Bronchial rupture generally results from blunt trauma. It is often observed at the right main bronchus, left main bronchus and distal portion of the trachea, respectively. The diagnosis is based on the clinical signs and fiberoptic bronchoscopic examination. The primary treatment is surgical repair. A 33-year-old male case was admitted to emergency department after vehicle accident with the complaints of dyspnea. Physical examination revealed multi-organ trauma and right tension pneumothorax. Tube torachostomy and closed under water drainage were performed. During the follow-up period, massive air leakage and bleeding continued. After bronchoscopic examination, we suspected bronchial rupture. Right thoracotomy and middle lobectomy were performed. The case has been asymptomatic for nine months. The case was presented, as middle lobe is a rare localization of the bronchial rupture.
Keywords : Blunt trauma; bronchial rupture; middle lobe
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