Delayed Tension Pneumothorax – Identification and Treatment in Traumatic Bronchial Injury: An Interesting PresentationCorrespondence Address :
Dr. Amit Gupta,
Additional Professor, Department of General Surgery, All India Institute of Medical Sciences,
Rishikesh-249203, Uttarakhand, India.
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.
Dyspnoea, Road traffic injury, Thoracotomy
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
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.
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2016: 132.37
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase & EMbiology
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)