RESUMEN
Tracheobronchial ruptures represent a serious pathology difficult to diagnose at the first examination. The authors review 6 cases: four as acute types with pneumomediastinum, pneumothorax and subcutaneous emphysema with a delay in diagnosis of 3.25 days, meanwhile 2 cases were chronic forms with a delay in diagnosis of 124.5 days. Diagnosis should be performed as soon as possible based in the presence of uni or bilateral pneumothorax with pneumomediastinum being confirmed by fiber bronchoscopy. The treatment is based in the resection of the fractured fragments, followed by bronchoplasty always with reabsorbable sutures the most frequent surgical technique, meanwhile in the atelectatic forms it is not possible to perform sometimes and we must practise lung resections.
Asunto(s)
Bronquios/lesiones , Tráquea/lesiones , Accidentes de Tránsito , Adolescente , Adulto , Bronquios/cirugía , Broncografía , Broncoscopía , Femenino , Tecnología de Fibra Óptica , Humanos , Intubación Intratraqueal/efectos adversos , Masculino , Persona de Mediana Edad , Traumatismo Múltiple/diagnóstico , Traumatismo Múltiple/cirugía , Rotura , Tráquea/diagnóstico por imagen , Tráquea/cirugíaRESUMEN
Endobronchial hamartomas are not very common and they are usually symptomatic because of bronchial obstruction. The diagnosis is made by fiberoptic bronchoscopy of thoracotomy and there are several possibilities of treatment but until now the most common has been surgical resection. We report the case of a man with an endobronchial hamartoma who was diagnosed by fiberoptic bronchoscopy and successfully treated by rigid bronchoscopy.
Asunto(s)
Enfermedades Bronquiales/cirugía , Broncoscopía , Hamartoma/cirugía , Enfermedades Bronquiales/diagnóstico , Hamartoma/diagnóstico , Humanos , Masculino , Persona de Mediana EdadRESUMEN
A case of asymptomatic fibrous histiocytoma of the lung is described in a 14-year-old girl. A left thoracotomy was performed followed by partial resection of the lingula. Postoperative progress was uneventful.