{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:08Z","timestamp":1753893248147,"version":"3.41.2"},"reference-count":5,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T00:00:00Z","timestamp":1662336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82003284"],"award-info":[{"award-number":["82003284"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004032","name":"The First Hospital of Jilin University","doi-asserted-by":"publisher","award":["JDYY11202015"],"award-info":[{"award-number":["JDYY11202015"]}],"id":[{"id":"10.13039\/501100004032","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Tracheobronchial ruptures caused by blunt chest trauma are rarely encountered but may be life-threatening. It is even rarer when the rupture is in the right middle lobe bronchus. Here we present a case of incomplete laceration of the right middle lobe bronchus after blunt trauma, which could easily be overlooked because of the absence of obvious symptoms. A 58-year-old man suffered multiple traumas after being attacked by cattle, closed chest drainage was promptly performed in the local hospital for bilateral hemopneumothorax. Three days later, the patient was transferred to our center for urgent exploratory thoracic surgery due to persistent hemothorax. We did not diagnose bronchial injury even after a bedside emergency bronchoscopy due to the adherence of bloody secretions and sputum crusts. It was not until a repeat chest CT 4 days after the initial surgery that we suspected an incomplete right middle lobe bronchial laceration, which was confirmed by postoperative bronchoscopy. The patient eventually underwent right middle lobe lung resection for a deep and wide bronchial laceration and recovered well. Clinicians should be fully aware of the possibility of this condition after blunt chest trauma and make good use of CT and bronchoscopy to help with diagnosis and treatment.<\/jats:p>","DOI":"10.3389\/fsurg.2022.1011674","type":"journal-article","created":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T04:33:43Z","timestamp":1662352423000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case report: Incomplete laceration of the right middle lobar bronchus due to blunt chest trauma: An unusual pattern and attentions"],"prefix":"10.3389","volume":"9","author":[{"given":"Yuqi","family":"Song","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianzun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linan","family":"Fang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,9,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/S0003-4975(10)63961-6","article-title":"Management of tracheobronchial disruption secondary to nonpenetrating trauma","volume":"22","author":"Kirsh","year":"1976","journal-title":"Ann Thorac Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2059","DOI":"10.1016\/S0003-4975(00)02453-X","article-title":"Blunt tracheobronchial injuries: treatment and outcomes","volume":"71","author":"Kiser","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1016\/0022-3468(91)90609-W","article-title":"Tracheobronchial injuries in children","volume":"26","author":"Hancock","year":"1991","journal-title":"J Pediatr Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1007\/s00383-020-04703-2","article-title":"Experience of diagnosis and treatment of traumatic bronchial rupture in children in a single clinical center","volume":"36","author":"Li","year":"2020","journal-title":"Pediatr Surg Int"},{"key":"B5","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1016\/0003-4975(90)90191-8","article-title":"Tracheal and main bronchial disruptions after blunt chest trauma: presentation and management","volume":"50","author":"Baumgartner","year":"1990","journal-title":"Ann Thorac Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1011674\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T04:33:46Z","timestamp":1662352426000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1011674\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,5]]},"references-count":5,"alternative-id":["10.3389\/fsurg.2022.1011674"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.1011674","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2022,9,5]]},"article-number":"1011674"}}