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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT with intravenous contrast agent&#58; &#40;A&#41; Axial plane&#44; lung window&#46; Fallen lung sign &#40;dashed white arrow&#41; due to collapse and displacement of the pulmonary hilum toward the lower segments&#46; Right tension pneumothorax &#40;white asterisk&#41; is also observed&#44; causing contralateral mediastinal displacement and pneumopericardium &#40;dashed black arrow&#41;&#46; &#40;B&#41; Coronal reconstruction&#44; lung window&#46; Pneumomediastinum with air surrounding the bronchi and pulmonary vessels lying in parallel to bronchi in the pulmonary hilum &#40;black arrowhead&#41;&#46; &#40;C&#41; Multiplanar reconstruction with minimum intensity projection&#44; coronal plane&#44; lung window showing subcutaneous emphysema &#40;solid black arrow&#41; and airway discontinuity &#40;white arrow&#41;&#46; &#40;D&#41; Three-D volume rendering&#44; anteroposterior projection with suppression of right lung&#46; Laceration of the intermediate bronchus with bronchial amputation and discontinuity of the airway &#40;white arrow&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 50-year-old man with multiple injuries&#46; Chest CT with intravenous contrast agent identified laceration of the intermediate bronchus &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Tracheobronchial laceration is uncommon in clinical practice &#40;0&#46;2&#37;&#8211;8&#37; of closed thoracic trauma&#41; because 81&#37; of patients die at the scene from other causes&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a> Diagnosis is usually late&#44; as it is masked by other traumatic injuries&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Bronchial ruptures are typically parallel to the cartilaginous rings&#44; less than 2&#46;5<span class="elsevierStyleHsp" style=""></span>cm from the carinal angle&#44; and are slightly more predominant in the right side&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a> Indirect signs&#44; such as pneumomediastinum and cervical emphysema&#44; can be seen on imaging tests&#46; Persistent pneumothorax&#44; refractory to drainage tube placement&#44; occurs if the lesion reaches the pleural space&#46; CT has a fundamental role&#44; allowing direct identification of airway discontinuity&#44; angulation&#44; and bronchial defect or amputation&#46; If the rupture is complete&#44; the lung can collapse and fall away from the hilum toward the lower segments &#40;&#8220;fallen lung sign&#8221;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Multiplanar reconstructions CT images with minimal intensity projection are useful if tracheobronchial injury is suspected&#46; Bronchoscopy can confirm the diagnosis and assess its extension&#46; Early surgery should be performed to attempt primary repair&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Veiga-Canuto D&#44; Carreres-Polo J&#46; Laceraci&#243;n traqueobronquial tras traumatismo tor&#225;cico cerrado&#46; Arch Bronconeumol&#46; 2021&#59;57&#58;490&#46;</p>"
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Clinical Image
Tracheobronchial Laceration After Blunt Chest Trauma
Laceración traqueobronquial tras traumatismo torácico cerrado
Diana Veiga-Canuto
Corresponding author
dianaveigac@gmail.com

Corresponding author.
, Joan Carreres-Polo
Servicio de Radiología, Área Clínica de Imagen Médica, Hospital Universitari i Politècnic La Fe, Valencia, Spain
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT with intravenous contrast agent&#58; &#40;A&#41; Axial plane&#44; lung window&#46; Fallen lung sign &#40;dashed white arrow&#41; due to collapse and displacement of the pulmonary hilum toward the lower segments&#46; Right tension pneumothorax &#40;white asterisk&#41; is also observed&#44; causing contralateral mediastinal displacement and pneumopericardium &#40;dashed black arrow&#41;&#46; &#40;B&#41; Coronal reconstruction&#44; lung window&#46; Pneumomediastinum with air surrounding the bronchi and pulmonary vessels lying in parallel to bronchi in the pulmonary hilum &#40;black arrowhead&#41;&#46; &#40;C&#41; Multiplanar reconstruction with minimum intensity projection&#44; coronal plane&#44; lung window showing subcutaneous emphysema &#40;solid black arrow&#41; and airway discontinuity &#40;white arrow&#41;&#46; &#40;D&#41; Three-D volume rendering&#44; anteroposterior projection with suppression of right lung&#46; Laceration of the intermediate bronchus with bronchial amputation and discontinuity of the airway &#40;white arrow&#41;&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Veiga-Canuto D&#44; Carreres-Polo J&#46; Laceraci&#243;n traqueobronquial tras traumatismo tor&#225;cico cerrado&#46; Arch Bronconeumol&#46; 2021&#59;57&#58;490&#46;</p>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT with intravenous contrast agent&#58; &#40;A&#41; Axial plane&#44; lung window&#46; Fallen lung sign &#40;dashed white arrow&#41; due to collapse and displacement of the pulmonary hilum toward the lower segments&#46; Right tension pneumothorax &#40;white asterisk&#41; is also observed&#44; causing contralateral mediastinal displacement and pneumopericardium &#40;dashed black arrow&#41;&#46; &#40;B&#41; Coronal reconstruction&#44; lung window&#46; Pneumomediastinum with air surrounding the bronchi and pulmonary vessels lying in parallel to bronchi in the pulmonary hilum &#40;black arrowhead&#41;&#46; &#40;C&#41; Multiplanar reconstruction with minimum intensity projection&#44; coronal plane&#44; lung window showing subcutaneous emphysema &#40;solid black arrow&#41; and airway discontinuity &#40;white arrow&#41;&#46; &#40;D&#41; Three-D volume rendering&#44; anteroposterior projection with suppression of right lung&#46; Laceration of the intermediate bronchus with bronchial amputation and discontinuity of the airway &#40;white arrow&#41;&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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