Journal of Surgical Education
Volume 64, Issue 4 , Pages 224-227, July 2007

Nonoperative Management of Bronchial Injury in a 21-Month-Old Child

  • Jared Clay, MD
    • ,
  • Robert L. Gates, MD

      Affiliations

    • Corresponding Author InformationCorrespondence: Inquiries to Robert L. Gates, MD, Department of Surgery, University of California—Davis Medical Center, 5275 F Street Suite #3, Sacramento, CA 95819; fax: (916) 733-6051

Department of Surgery, University of California—Davis Health System, Sacramento, California

Bronchial laceration is an uncommon complication of blunt trauma in children. Treatment of bronchial laceration has involved thoracotomy with primary repair of the bronchial injury or nonoperative management with tube thoracostomy. We report a 21-month-old boy who sustained a large tear of the right upper lobe bronchus after an automobile/pedestrian accident in whom nonoperative management resulted in a favorable outcome. The relevant literature is reviewed, and an algorithm for management is proposed.

Key Words: tracheobronchial injury, pediatric thoracic trauma

Competency: Patient Care

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PII: S1931-7204(07)00123-7

doi:10.1016/j.jsurg.2007.01.027

Journal of Surgical Education
Volume 64, Issue 4 , Pages 224-227, July 2007

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