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Unfallchirurg. 2012 Jun;115(6):546-51. doi: 10.1007/s00113-011-1995-9.

[Coincidence of traumatic tracheal rupture accompanied by ARDS. Illustrated by the example of a 17-year-old patient with multiple injuries].

[Article in German]

Author information

  • 1Klinik für Unfall- und Wiederherstellungschirurgie, Operative Intensiv- und Notfallmedizin, Centrum für Muskuloskeletale Chirurgie, Campus Virchow Klinikum, Charité Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland. christian.kleber@charite.de

Abstract

Treatment and diagnosis of a traumatic tracheal rupture is a challenge. Due to the rarity of such injuries and the subtle and delayed clinical presentation it is difficult to diagnose. We present for the first time the successful management of a 17-year-old multiply injured patient with coincidental tracheal rupture and ARDS (acute respiratory distress syndrome) after a fall. Besides the case report and pathogenesis the essential diagnostic and therapeutic measures are mentioned and discussed. The circumstances surrounding the accident have to be balanced with the severity of the trauma to also exclude rare injuries with certainty. Finally level 1 trauma centers specialized in ARDS provide the best clinical setting for successful treatment of these life-threatening injuries.

PMID:
21584704
DOI:
10.1007/s00113-011-1995-9
[PubMed - indexed for MEDLINE]
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