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Lung India Official publication of Indian Chest Society  
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Year : 2021  |  Volume : 38  |  Issue : 1  |  Page : 77-79

Conservative treatment of postintubation tracheal laceration with pneumomediastinum, bilateral pneumothorax, and massive subcutaneous emphysema

1 Department of Surgery, University Hospital Sestre Milosrdnice, Zagreb, Croatia
2 Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
3 Department of General medicine, Health centre Zagreb, Croatia

Correspondence Address:
Ivan Romic
Department of Surgery, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/lungindia.lungindia_322_20

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Postintubation tracheal laceration (PITL) is a rare, potentially life-threatening complication requiring prompt diagnosis and treatment. Patients typically present with subcutaneous emphysema and pneumomediastinum, whereas concomitant pneumothorax is rarely reported. A conservative treatment is indicated in selected respiratory stable patients with small lacerations. Herein, we reported an unusual case of PITL with bilateral pneumothorax that was treated with chest tube drainage and conservative measures in the intensive care unit. The key success of the PITL management is early recognition of signs and symptoms and an adequate selection of management approaches.

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