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Acta Medica Medianae
Vol. 54, No 1, March, 2015

UDC 61
ISSN 0365-4478(Printed version)
ISSN 1821-2794(Online)




Case report                                                               UDC: 616.23-001-089.819.3-06:616-073.7                                                                                                            doi:10.5633/amm.2015.0108



The role of multislice computed tomography in the emergency diagnosis of the tracheobronchial injury after endotracheal intubation - Case report

 Aleksandar Karanikolić1,2, Zoran Damnjanović3, Vesna Karanikolić4, Ivan Pešić2,
 Biljana Stošić1,5, Toplica Bojić2


University of Niš, Faculty of Medicine, Niš, Serbia1

General Surgery Clinic, Clinical Canter Niš, Serbia2

Vascular Surgery Clinic, Clinical Center Niš, Serbia3

Clinic of Dermatovenerology, Clinical Center Niš, Serbia4

Department of Anaesthesiology and Intensive Care, Clinical Center Niš, Serbia5


                         Aleksandar Karanikolić, General Surgery Clinic, Clinical Center of Niš, Serbia
                         Bul. dr Zorana Đinđića 48, 18000 Niš, Serbia,
                         e-mail: pean@ptt.rs


Tracheobronchial injury (TBI) is a rare complication occurring after endotracheal intubation.  Treatment can be conservative for small lesions and when the patient’s condition is stable, or surgical for bigger lesions and when pneumomediastinum and/or subcutaneous emphysema threaten the patient’s life. Total thyroidectomy was performed in a 60-year-old woman with multinodular goiter. Ten hours after surgery, subcutaneous emphysema of the face and neck developed. A cervical and thoracic multislice computed tomography (MSCT) confirmed subcutaneous emphysema, pneumomediastinum, and posterior wall tracheal rupture 2cm in size. The patient was treated conservatively. The MSCT imaging can be a useful method for diagnosing the location and form of tracheal injury in hemodynamically stable patients. Acta Medica Medianae 2015;54(1): 53-55.


Key words: multislice computed tomography, endotracheal intubation, tracheobronchial lacerations