Images in Cardiothoracic Medicine and Surgery
Delayed tracheal rupture presenting as hoarseness
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(2) 230 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313513781 aan.sagepub.com
Dong Xie, Gening Jiang and Boxiong Xie
Figure 1. Sagittal (a) and axial (b) chest computed tomography showing a longitudinal membranous tracheal rupture. There is an apparent discontinuity of the trachea (arrow).
the chest. Chest computed tomography showed pneumomediastinum and a longitudinal membranous tracheal rupture (Figure 1). The patient underwent emergency repair through a right thoracotomy, which showed a 30-mm tear of the trachea. The hoarseness resolved in 3 days, and he was discharged after 5 days. Postoperative computed tomography demonstrated complete healing of the posterior tracheal wall (Figure 2). The most common symptoms of tracheal rupture include dyspnea, subcutaneous emphysema, and mild hemoptysis. Delayed hoarseness is a rare presentation of tracheal rupture. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement None declared. Figure 2. Sagittal chest computed tomography revealing complete healing of the posterior tracheal wall.
A 17-year-old boy was admitted for sudden onset of hoarseness. He had been hit in the chest by a motorcycle 8 h earlier, and had been evaluated by a district hospital where his initial physical examination and chest radiograph were unremarkable. Physical examination revealed crepitus in the neck and upper portion of
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China Corresponding author: Boxiong Xie, Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Rd, Shanghai 200433, China. Email: [email protected]
Downloaded from aan.sagepub.com at GEORGIAN COURT UNIV on April 23, 2015
Delayed tracheal rupture presenting as hoarseness
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(2) 230 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313513781 aan.sagepub.com
Dong Xie, Gening Jiang and Boxiong Xie
Figure 1. Sagittal (a) and axial (b) chest computed tomography showing a longitudinal membranous tracheal rupture. There is an apparent discontinuity of the trachea (arrow).
the chest. Chest computed tomography showed pneumomediastinum and a longitudinal membranous tracheal rupture (Figure 1). The patient underwent emergency repair through a right thoracotomy, which showed a 30-mm tear of the trachea. The hoarseness resolved in 3 days, and he was discharged after 5 days. Postoperative computed tomography demonstrated complete healing of the posterior tracheal wall (Figure 2). The most common symptoms of tracheal rupture include dyspnea, subcutaneous emphysema, and mild hemoptysis. Delayed hoarseness is a rare presentation of tracheal rupture. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement None declared. Figure 2. Sagittal chest computed tomography revealing complete healing of the posterior tracheal wall.
A 17-year-old boy was admitted for sudden onset of hoarseness. He had been hit in the chest by a motorcycle 8 h earlier, and had been evaluated by a district hospital where his initial physical examination and chest radiograph were unremarkable. Physical examination revealed crepitus in the neck and upper portion of
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China Corresponding author: Boxiong Xie, Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Rd, Shanghai 200433, China. Email: [email protected]
Downloaded from aan.sagepub.com at GEORGIAN COURT UNIV on April 23, 2015
