{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:32:32Z","timestamp":1790951552622,"version":"4.1.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T00:00:00Z","timestamp":1575936000000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tracheobronchial injury is one of the least common injuries in the scenario of blunt chest trauma. However, around 81% of patients with airway injury die immediately or before arriving at the emergency department due to tension pneumothorax. It presents with non-specific signs and symptoms challenging prompt diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 15-year-old adolescent who was riding a bicycle suffered an accident when he fell down a cliff, approximately 5\u2009m deep. Upon admission to the emergency department, he presented with signs of respiratory distress. The airway was secured and a thoracoabdominal angiography was performed. The image reported pneumomediastinum, a small right pneumothorax, areas of pulmonary contusion, and an image of loss of continuity in the anterior superior wall of the right main bronchus highly suggestive of bronchial rupture. The bronchial lesion was then confirmed by fiberoptic bronchoscopy. Taking into account the patient\u2019s characteristics, conservative management was chosen, and the patient was transferred to the intensive care unit (ICU) where protective tracheal intubation was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A delay in diagnosis increases the rate of complications, mainly infectious complications and the formation of granulation tissue that could potentially obstruct the airway, impacting the patient\u2019s outcome. The first step in the management of these patients is securing the airway, which should be done immediately. The gold standard for the diagnosis and characterization of airway injuries is bronchoscopy as it is the most effective tool to assess topography, extent, and depth of the lesion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12245-019-0258-3","type":"journal-article","created":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T09:05:04Z","timestamp":1575968704000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Right main bronchus rupture associated with blunt chest trauma: a case report"],"prefix":"10.1186","volume":"12","author":[{"given":"Carime","family":"D\u00edaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel F.","family":"Carvajal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliana I.","family":"Morales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saveria","family":"Sangiovanni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0789-9154","authenticated-orcid":false,"given":"Liliana","family":"Fern\u00e1ndez-Trujillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,12,10]]},"reference":[{"key":"258_CR1","volume-title":"Emergency radiology of the chest and cardiovascular system","author":"M Scaglione","year":"2016","unstructured":"Scaglione M, et al. Acute Tracheobronchial Injuries. In: Scaglione M, Linsenmaier U, Schueller G, Berger F, Wirth S, editors. Emergency radiology of the chest and cardiovascular system. Cham: Medical Radiology. Springer; 2016."},{"key":"258_CR2","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1016\/0003-4975(90)90191-8","volume":"50","author":"F Baugartner","year":"1990","unstructured":"Baugartner F, Shepperd B, De Virgilio C, et al. Tracheal and main bronchial disruptions after blunt chest trauma: presentation and management. Ann Thorac Surg. 1990;50:569\u201374.","journal-title":"Ann Thorac Surg"},{"key":"258_CR3","unstructured":"Restrepo S. Trauma de T\u00f3rax, Tr\u00e1quea y Bronquios centrales. Revista Colombiana de Neumolog\u00eda. 2000;12(3)."},{"key":"258_CR4","first-page":"35","volume":"17","author":"JR Karmy","year":"2007","unstructured":"Karmy JR, Wood RD. Traumatic injuries to trachea and bronchus. Orac Surg Clin. 2007;17:35\u201346.","journal-title":"Orac Surg Clin"},{"key":"258_CR5","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.1016\/S0003-4975(00)01077-8","volume":"69","author":"DC Cassada","year":"2000","unstructured":"Cassada DC, Munyikwa MP, Moniz MP, Dieter RA Jr, Schuchmann GF, Enderson BL. Acute injuries of the trachea and main bronchi: importance of early diagnosis. Ann Thorac Surg. 2000;69:1563\u20137.","journal-title":"Ann Thorac Surg"},{"key":"258_CR6","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.injury.2014.01.006","volume":"45","author":"C Natale","year":"2014","unstructured":"Natale C, et al. Blunt bronchial injuries: a challenging issue. Injury Extra. 2014;45:22\u20134.","journal-title":"Injury Extra"},{"key":"258_CR7","doi-asserted-by":"publisher","first-page":"1175","DOI":"10.2214\/ajr.153.6.1175","volume":"153","author":"JM Unger","year":"1989","unstructured":"Unger JM, Schuuchmann GG, Grossman JE, Pellett JR. Tears of the trachea and main bronchi caused by blunt trauma: radiologic findings. AJR. 1989;153:1175\u201380.","journal-title":"AJR"},{"key":"258_CR8","first-page":"106","volume":"1","author":"AK Dalal","year":"2017","unstructured":"Dalal AK, Dalal UR, Saini V, Kapoor D. Isolated bronchial injury: a diagnostic and management challenge. J Surg Anesth. 2017;1:106.","journal-title":"J Surg Anesth"},{"key":"258_CR9","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1148\/radiographics.18.5.9747609","volume":"18","author":"JE Kuhlman","year":"1998","unstructured":"Kuhlman JE, Pozniak MA, Collins J, Knisley BL. Radiographic and CT findings of blunt chest trauma: aortic injuries and looking beyond them. Radiographics. 1998;18:1085\u2013106.","journal-title":"Radiographics"},{"issue":"1","key":"258_CR10","doi-asserted-by":"publisher","first-page":"E50","DOI":"10.21037\/jtd.2017.01.19","volume":"9","author":"Z Zhao","year":"2017","unstructured":"Zhao Z, Zhang T, Yin X, Zhao J, Li X, Zhou Y. Update on the diagnosis and treatment of tracheal and bronchial injury. J Thorac Dis. 2017;9(1):E50\u20136.","journal-title":"J Thorac Dis"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-019-0258-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12245-019-0258-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-019-0258-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T19:51:00Z","timestamp":1607457060000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-019-0258-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["258"],"URL":"https:\/\/doi.org\/10.1186\/s12245-019-0258-3","relation":{},"ISSN":["1865-1372","1865-1380"],"issn-type":[{"value":"1865-1372","type":"print"},{"value":"1865-1380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]},"assertion":[{"value":"9 October 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 November 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 December 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This report was prepared in accordance with the ethical standards of the institutional ethics committee and with the 1964 Helsinki Declaration. We have approval letter of the Ethics Committee in biomedical research IRB\/EC No. 230-2019 of the Fundaci\u00f3n Valle del Lili to publish this manuscript.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests. This manuscript has not been published and is not under consideration for publication elsewhere. Additionally, all of the authors have approved the contents of this paper and have agreed to the journal\u2019s submission policies.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"39"}}