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
Medicineauthors
Kim N,Lee HN,Kim JI,Shin SY,Kang SWdoi
10.1097/MD.0000000000023586subject
Has Abstractpub_date
2020-12-11 00:00:00pages
e23586issue
50eissn
0025-7974issn
1536-5964pii
00005792-202012110-00101journal_volume
99pub_type
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