African Journal of Paediatric Surgery

CASE REPORT
Year
: 2021  |  Volume : 18  |  Issue : 2  |  Page : 94--96

Conservative management of iatrogenic tracheal rupture in a 19-month-old child


Tugba Acer-Demir, Esra Elif Arslan 
 Department of Paediatric Surgery, Baskent University, Ankara, Turkey

Correspondence Address:
Dr. Tugba Acer-Demir
Department of Paediatric Surgery, Faculty of Medicine, Başkent University, Fevzi Cakmak Cad, 10, Sok, No: 38/8, 06490 Bahcelievler, Ankara
Turkey

Up to date, only five cases of iatrogenic tracheal rupture during rigid bronchoscopy have been reported in children. Herein, we report the first case who has recovered with spontaneous respiration without intubation. Rigid bronchoscopy of a 19-month-old girl revealed a foreign body at the right main bronchus. While the bronchoscope was being withdrawn, we identified a 0.5-cm longitudinal mucosal laceration along the right wall of the membranous trachea. As her spontaneous respiration was adequate, she was treated conservatively. For the treatment of tracheal lacerations, while early surgical repair has traditionally been acceptable, evidence supporting conservative treatment is increasing, particularly in paediatric cases. If spontaneous respiration is sufficient, bridging the laceration with an endotracheal tube may not be required.


How to cite this article:
Acer-Demir T, Arslan EE. Conservative management of iatrogenic tracheal rupture in a 19-month-old child.Afr J Paediatr Surg 2021;18:94-96


How to cite this URL:
Acer-Demir T, Arslan EE. Conservative management of iatrogenic tracheal rupture in a 19-month-old child. Afr J Paediatr Surg [serial online] 2021 [cited 2021 Feb 28 ];18:94-96
Available from: https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2021;volume=18;issue=2;spage=94;epage=96;aulast=Acer-Demir;type=0