Case report of tracheobronchial injuries after acid ingestion: CT findings with serial follow-up: Airway complication after acid ingestion.

Abstract:

RATIONALE:Tracheobronchial injury from acid ingestion is a less reported clinical presentation than injury of the gastrointestinal tract, but it can occur due to direct exposure from acid aspiration and cause fatal complications. PATIENT CONCERNS:A 43-year-old man presented to the emergency department after ingesting nitric acid complaining of chest pain and dyspnea. DIAGNOSES:The initial chest computed tomography (CT) images revealed an acute lung injury related to acid aspiration. The follow-up chest CT showed acute and late tracheobronchial injures. INTERVENTIONS:Bronchoscopy showed deep caustic airway injuries consisting of hemorrhage, sloughing of the mucosa, and ulceration of the trachea and left-side bronchial tree. OUTCOMES:Progressive narrowing of the left main bronchus with total collapse of the left lung occurred as a late complication of acid ingestion. LESSONS:Tracheobronchial injury should be considered in cases of aspiration pneumonia after acid ingestion; chest CT can be used to detect and assess acute and late complications of tracheobronchial injuries.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Kim N,Lee HN,Kim JI,Shin SY,Kang SW

doi

10.1097/MD.0000000000023586

subject

Has Abstract

pub_date

2020-12-11 00:00:00

pages

e23586

issue

50

eissn

0025-7974

issn

1536-5964

pii

00005792-202012110-00101

journal_volume

99

pub_type

杂志文章

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