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Successful Management of Complete Tracheal Disruption after Blunt Trauma: A Case Report

Surinder Kumar Goyal, Harish Chander Sachdeva1 and Rajinder Kumar Goyal

We present here a case of 22 years old male who sustained road traffic accident, crushed between two vehicles, suffering complete transaction of the trachea extending from C7-D1 level to D3-4 level. Patient sought immediate medical assistance at the nearest medical centre with complaints of respiratory distress and subcutaneous emphysema; referred to a tertiary care hospital. Fibreoptic bronchoscopy was performed; airway was secured by placing the endotracheal tube tip distal to the distal tracheal disruption site. It was an interesting and challenging case, as patient had only airway trauma and no other injury. Surgical repair was done on 8th day of injury. Patient developed chest infections and septicemia, treated as per sepsis guidelines and using mechanical ventilation. He responded to treatment, recovered and was extubated on 40th day. Tracheal stenosis at the site of repair was observed on Fibreoptic bronchoscopy and CECT (Contrast enhanced computer tomography) chest.