Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : PD12 - PD13

Delayed Tension Pneumothorax – Identification and Treatment in Traumatic Bronchial Injury: An Interesting Presentation

Amit Gupta, Amulya Rattan, Sunil Kumar, Vinita Rathi

1. Additional Professor, Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. 2. 2nd Year MCh Resident, Trauma Centre, All India Institute of Medical Sciences, Delhi, India. 3. Director Professor, Department of General Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India. 4. Professor, Department of Radiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.

Correspondence Address :
Dr. Amit Gupta,
Additional Professor, Department of General Surgery, All India Institute of Medical Sciences,
Rishikesh-249203, Uttarakhand, India.
E-mail: dramit2411@yahoo.co.in

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.

Keywords

Dyspnoea, Road traffic injury, Thoracotomy

How to cite this article :

Amit Gupta, Amulya Rattan, Sunil Kumar, Vinita Rathi. DELAYED TENSION PNEUMOTHORAX – IDENTIFICATION AND TREATMENT IN TRAUMATIC BRONCHIAL INJURY: AN INTERESTING PRESENTATION. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2018 Jan 22 ]; 11:PD12-PD13. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=PD12-PD13&id=10642

DOI and Others

DOI: 10.7860/JCDR/2017/27859.10642

Date of Submission: Feb 25, 2017
Date of Peer Review: May 19, 2017
Date of Acceptance: Jun 20, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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