Background: Injuries to the respiratory tract (trachea) are considered rare, but rapidly life-threatening. Prompt and accurate diagnosis, along with non-invasive monitoring during the healing process, are of critical importance in their management. Aims: Diagnosis and monitoring of non-operative treatment of tracheal rupture after blunt trauma sustained from a bicycle fall Methods: A case of tracheal rupture in a 16-year-old man, resulting from blunt trauma to the neck and chest as a result of a bicycle fall has been described. The diagnosis was made by applying the method of non-invasive VB with MDCT. For VB the study was performed on 64 MDCT “Siemens Definition AS”. The non-operative treatment was monitored. Results: Normal healing of the disrupted anterior wall has been established, with CT evidence of granulation tissue and resorption of the air content previously detected in the mediastinal region, as well as in the interstitial and subcutaneous tissues of the thorax and neck. The non-operative treatment led to the rapid and successful recovery of the patient. Conclusions: VB with MDCT is an important modality for the diagnosis of post-traumatic tracheal ruptures and their dynamic monitoring.
M. Mitev (Sun,) studied this question.