International Journal of
Medicine and Medical Sciences

  • Abbreviation: Int. J. Med. Med. Sci.
  • Language: English
  • ISSN: 2006-9723
  • DOI: 10.5897/IJMMS
  • Start Year: 2009
  • Published Articles: 531

Case Report

Managing a major traumatic bronchopleural fistula in a resource scarce community

Shahla Haleem
  • Shahla Haleem
  • Department of Surgery, Faculty of Medicine J. N. Medical College, A. M. U., Aligarh 202002, U.P., India.
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Maulana Mohd. Ansari
  • Maulana Mohd. Ansari
  • Department of Anaesthesia, Faculty of Medicine J. N. Medical College, A. M. U., Aligarh 202002, U.P., India.
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Mehmood-uz-Zafar
  • Mehmood-uz-Zafar
  • Department of Anaesthesia, Faculty of Medicine J. N. Medical College, A. M. U., Aligarh 202002, U.P., India.
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Farrukh Ansari
  • Farrukh Ansari
  • Department of Anaesthesia, Faculty of Medicine J. N. Medical College, A. M. U., Aligarh 202002, U.P., India.
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Abu Nadeem
  • Abu Nadeem
  • Department of Anaesthesia, Faculty of Medicine J. N. Medical College, A. M. U., Aligarh 202002, U.P., India.
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Yasir Ahmad Khan
  • Yasir Ahmad Khan
  • Department of Anaesthesia, Faculty of Medicine J. N. Medical College, A. M. U., Aligarh 202002, U.P., India.
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  •  Accepted: 07 October 2010
  •  Published: 30 December 2010

Abstract

A case of penetrating chest trauma owing to bull horn goring injury was managed surgically. Postoperative respiratory distress and severe hypoxia was managed initially by conventional modes of ventilatory assistance. We were unable to correct non resolving hypoxaemia through usual course of tracheal intubation and positive pressure ventilation. Large amount of persistent air leak at the intercostal chest tube drainage site arose the suspicion of associated severe traumatic bronchopleural fistula and led to try out alternative methods of respiratory support. An early tracheostomy was planned due to lack of facility for high frequency jet ventilation, which provided two-pronged benefits of a lowered airway resistance to breathing and avoided the need for positive pressure breaths.

Key words: Chest trauma, bull horn goring injury, hypoxaemia, traumatic bronchopleural fistula.