Abstract
Traumatic nonpenetrating chest injuries are rather frequent. Most often they are caused by rapid deceleration in the course of an automobile accident or by crushing trauma to the thorax. Such force can lead to major disruption of any of the intrathoracic structures, including rupture of the tracheobronchial tree, great vessels, or esophagus (11, 14, 17, 18). Two recent cases in The Johns Hopkins Hospital demonstrate clinical and roentgen features of tracheobronchial injury worthy of emphasis: The first is an instance of bronchial fracture diagnosed eighteen days after the patient suffered extensive trauma in an automobile accident; the second is a tracheal tear received during closed chest cardiac massage and endotracheal intubation. Case Reports Case I: On May 3, 1964, a 15-year-Old white girl was admitted to another hospital following an automobile accident. Physical and roentgenographic examination revealed lacerations of the face and legs, a displaced fracture of the surgical neck of the left humerus,...
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