Traumatic Bronchial Transection: Surgical Repair after a Delayed Diagnosis in a Child

Tracheobronchial injuries in children following blunt chest trauma are rare and often life-threatening. A 3-year-old boy presented with a delayed diagnosis of right main bronchus transection, 8 months postinjury. Initial symptoms were minimal and managed expectantly. Imaging and bronchoscopy confirmed primary bronchial transection. Surgical repair was performed through a right thoracotomy with end-to-end bronchial anastomosis, resulting in successful lung re-expansion and recovery. This case highlights the importance of high clinical suspicion and thorough evaluation in posttrauma patients leading to lung salvageability.

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Publication Details

Journal
Journal of Indian Association of Pediatric Surgeons
Published
2025-11-04
DOI
https://doi.org/10.4103/jiaps.jiaps_177_25
Primary Topic
Trauma Management and Diagnosis
Type
article
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0.00
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Traumatic Bronchial Transection: Surgical Repair after a Delayed Diagnosis in a Child

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Journal of Indian Association of Pediatric Surgeons
Trauma Management and Diagnosis
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Traumatic Bronchial Transection: Surgical Repair after a Delayed Diagnosis in a Child

Shivani Dogra, Jai Kumar Mahajan, Nitin James Peters, Shailesh Solanki, Ravi P. Kanojia, Arpit Shastri, Preethy J. Mathew, Pankaj C Vaidhya
article en

Abstract

Tracheobronchial injuries in children following blunt chest trauma are rare and often life-threatening. A 3-year-old boy presented with a delayed diagnosis of right main bronchus transection, 8 months postinjury. Initial symptoms were minimal and managed expectantly. Imaging and bronchoscopy confirmed primary bronchial transection. Surgical repair was performed through a right thoracotomy with end-to-end bronchial anastomosis, resulting in successful lung re-expansion and recovery. This case highlights the importance of high clinical suspicion and thorough evaluation in posttrauma patients leading to lung salvageability.

Journal of Indian Association of Pediatric SurgeonsVol. 31(1)
Post Graduate Institute of Medical Education and Research (IN)
Openalex Percentile: Top 49%
Trauma Management and Diagnosis
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