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Ann Thorac Surg 1996;62:269-272
© 1996 The Society of Thoracic Surgeons

Case Report

Long Tracheobronchial and Esophageal Rupture After Blunt Chest Trauma: Injury by Airway Bursting

Jose L. Martín de Nicolás, MD, PhD, Antonio P. Gámez, MD, Felipe Cruz, MD, PhD, Vicente Díaz-Hellín, MD, Carmen Marrón, MD, Jose I. Martínez, MD, Ramiro Gálvez, MD, José Toledo, MD, PhD

Departments of Thoracic Surgery and General Surgery, Doce de Octubre Hospital, Madrid, Spain

Accepted for publication January 19, 1996.

Tracheobronchial rupture can be associated with blunt thoracic trauma. An important factor in the physiopathology of these lesions is reflex closure of the glottis, which can be related to closed chest trauma. We report a case of nonpenetrating thoracic trauma that caused a long membranous tracheal rupture from the subcricoid area to the main carina, extending to both main bronchi. In addition, a complex esophageal rupture occurred due to the great energy liberated by the airway rupture acting as a real tracheal burst. Both lesions were diagnosed by flexible bronchoscopy. The postoperative period was without serious complications.




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