PMC10130677_01
Chest X-ray showed evidence of pneumomediastinum and fracture rib both side.
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Chest radiography revealed mediastinal emphysema and intercostal chest drain was placed (Figure 1). a chest CT with intravenous contrast was performed to further evaluate the mediastinal emphysema.
Chest computed tomography suspected an injury of right main bronchus.
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The chest CT revealed right main bronchus injury, mediastinal emphysema, right pneumothorax, and fracture of the 2nd-4th right ribs (Figure 2).
Right main bronchus complete transection.
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Intraoperatively, the azygos vein was divided to expose the injury site, and the transected right main bronchus was identified at the proximal carina (Figure 3).