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    Go to the top of the page   ID: 20090225131032 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Traumatic tracheal laceration
    Johannes Gossner. Traumatic tracheal laceration. PedRad [serial online] vol 9, no. 2.
    URL: www.PedRad.info/?search=20090225131032


     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Johannes Gossner (Krankenhaus Oststadt- Heidehaus/Klinikum Hannover)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    8 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Trachea  

     
     Pediatric Radiology CasesMost likely etiology:

    other  

     
     Pediatric Radiology CasesHistory:

    8 year old girl s/p fall with the neck on the bath tub and developed subsequently dyspnea. After arrival of the EMS team, dyspnea became so severe that the girl had to be intubated. During the course, the girl developed a progressive soft tissue emphysema (with deflated endotracheal tube).  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: Axial neck CT in lung window: There is an extensive soft tissue emphysema, which extends from the neck to mediastinum and into the chest wall.




    CT 2 <- view CT 2

    CT 2: Coronal reconstruction of a neck CT in lung window:
    Coronal reconstructed images demonstrate an extensive soft tissue emphysema, which extends from the neck to mediastinum and into the chest wall.





    CT 3 <- view CT 3

    CT 3: Magnified view of an axial neck CT in lung window:
    Visible defect in the pars membranacea (arrow). Endotracheal tube is in place with extensive air in the soft tissues.



     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Imaging including endoscopy  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Tracheal laceration is in general rare and only occurs in approximately 1% of cases with blunt thoracic trauma, because the trachea is an anatomically well protected structure. Problematic is the often delayed diagnosis because of subtle and unspecific findings and also because in case of polytrauma the attention to other more obvious inhjuries (1,2). Computed tomography allows a detailed depiction of air collections and often of the tracheal defect, as in this case. Chen et al. could show the defect in 70% of cases (3). This is especially helpful in therapeutic planning, because in a clinically stable patient with small lacerations, a conservative approcach still leads to good results (1,2). In a review of the literature 15 cases were reported by Claes et al.: all children survived a small tracheal rupture after blunt trauma and only in one patient hoarseness persisted (2).  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Kühne CA, Kaiser GM, Kühl H, Fischer M, Nast-Kolb D, Paffrath
    Trachealeinriss nach stumpfem Halstrauma beim Kind
    Chirurg (2003); 74: 579-582

    2. Medline: Medline
    Claes I, Van Schil P, Corthous B, Jorens GP
    Posterior tracheal wall laceration after blunt neck trauma in children: a case report and review of the literature
    Resuscitation (2004); 63: 97-102

    3. Medline: Medline
    Chen JD, Shanmuganathan K, Mirvis SE, Killeen KL, Dutton RP
    Using CT to diagnose tracheal rupture
    AJR 2001; 176: 1273-1280

     

     
     Pediatric Radiology CasesKeywords:

    Trauma, Trachea, Laceration, Computed tomography, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Johannes Gossner. Traumatic tracheal laceration. PedRad [serial online] vol 9, no. 2.
    URL: www.PedRad.info/?search=20090225131032  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Trachea
    or in the region: Thorax
    or in the tissue/organ: Trachea
    or with the etiology: other
     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     
    Traumatic tracheal laceration
    Johannes Gossner. Traumatic tracheal laceration. PedRad [serial online] vol 9, no. 2.
    URL: www.PedRad.info/?search=20090225131032


     

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    Traumatic tracheal laceration
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    Search Johannes Gossner in Medline Johannes Gossner (2)   

    Traumatic tracheal laceration  
     
    Traumatic tracheal laceration
    Johannes Gossner. Traumatic tracheal laceration. PedRad [serial online] vol 9, no. 2.
    URL: www.PedRad.info/?search=20090225131032


     
     
    Traumatic tracheal laceration
    Johannes Gossner. Traumatic tracheal laceration. PedRad [serial online] vol 9, no. 2.
    URL: www.PedRad.info/?search=20090225131032


     

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    Traumatic tracheal laceration
    Johannes Gossner. Traumatic tracheal laceration. PedRad [serial online] vol 9, no. 2.
    URL: www.PedRad.info/?search=20090225131032


     




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