Tracheal Rupture in an Adolescent Female Presenting with Chest Pain and Subcutaneous Emphysema at the Emergency Department: A Case Report Acil Servise Göğüs Ağrısı ve Deri Altı Amfizemle Başvuran Adölesan Hasta: Tanınız Nedir?

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Üdürgücü M., Yener N., Şahin E.

Journal of Pediatric Emergency and Intensive Care Medicine(Turkey), cilt.8, sa.2, ss.129-132, 2021 (Scopus, TRDizin)

Özet

Tracheal injuries that can lead to life-threatening results are extremely uncommon in children. Although the majority are seen following trauma or invasive procedures, a few paediatric cases exist in the literature of spontaneous tracheal rupture. In the case reported here, a 15-year-old female presented at the Emergency Department with complaints of a sudden onset of chest pain, difficulty breathing, subcutaneous emphysema and pneumomediastinum. On the computed tomography image, a tracheal rupture 8 mm in size was present in the posterior right lateral section. Using a conservative approach, the patient recovered without any complications. If a patient presents with a sudden onset of breathing difficulty following a severe cough accompanied with subcutaneous emphysema in the presence of chest pain, tracheal rupture should be considered. Our patient presents an extremely rare case of tracheal rupture in childhood. The patient recovered completely without complications using a conservative approach.