Tracheal rupture after endotracheal intubation – a case report

Tracheal rupture after endotracheal intubation – a case report

Jana Šimonová1, Róbert Šimon2, Janka Vašková3*

11st Clinic of Anaesthesiology and Intensive Care Medicine, Louis Pasteur University Hospital in Košice, and Pavol Jozef Šafárik University in Košice, Tr. SNP 1, 040 66 Košice, Slovak Republic; 22nd Department of Surgery, Louis Pasteur University Hospital, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Slovak Republic, Rastislavova 43, 040 01 Košice, Slovak Republic; 3Department of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Tr. SNP 1, 040 66 Košice, Slovak Republic

International-Journal-of-Case-Reports-2d code

Tracheal rupture is a rare condition associated with high morbidity and mortality. Iatrogenic tracheal injury is also very rare and can occur as a serious complication after endotracheal intubation.  We report a case study of tracheal rupture of patient with a history of rheumatoid arthritis and corticosteroid treatment during surgical procedure with orotracheal intubation in a supine position. Lesions were healed after conservative treatment without stenosis, signs of mediastinitis or local infection. Patient was able to undergo three other surgical procedures during the next 8 month without any other complications connected to endotracheal intubation.

Keywords: endotracheal intubation, haemoptysis, respiratory insufficiency, tracheal rupture

Free Full-text PDF

How to cite this article:

Jana Šimonová, Róbert Šimon, Janka Vašková. Tracheal rupture after endotracheal intubation – a case report. International Journal of Case Reports, 2019 4:96. DOI: 10.28933/ijcr-2019-09-2305


1. Miňambres E, Buron J, Ballesteros MA, Llorca J, Muňoz P, González-Castro A. Tracheal rupture after endotracheal intubation: a literature systemic review. European Journal of Cardio-Thoracic Surgery, 2009; 35: 1056-1062.
2. Chen HC, Logman ZM, Glass PS, Bilfinger TV. A case of tracheal injury after emergent endotracheal intubation: a review of the literature and causalities. Anesthesia & Analgesia, 2001; 93: 1270-1271.
3. Marty-Ane C, Pickard E, Jonquet O, Mary H. Membranous tracheal rupture after endotracheal intubation. Annals of Thoracic Surgery, 1995; 60: 1367-1371.
4. Ross MH, Grant FJ, Wilson RS, Burt ME. Nonoperative management of tracheal laceration during endotracheal intubation. Annals of Thoracic Surgery, 1997; 63: 240-242.
5. Yopp AC, Eckstein JG, Savel RH, Abrol S. Tracheal stenting of iatrogewnic trascheal injury: a novel management approach. Annals of Thoracic Surgery, 2007; 83: 1897-1899.
6. Aguilar C, Rampersad F, Singh AB. The radiological features of tracheal rupture following endotracheal intubation. Imaging in Medicine, 2017; 9: 139-141.
7. Jougon J, ballester M, Choukroun E, Dubrez J, Reboul G, Velly JF. Conservative treatment for postintubation trecheobronchial rupture. Annals of Thoracic Surgery, 2000; 69: 216-220.
8. Prunet B, Lacroix G, Asencio Y, Cathelinaud O, Avaro JP, Goutorbe P. Iatrogenic post-intubation tracheal rupture treated conservatively without intubation: a case report. Cases Journal, 2008; 1: 259.
9. Lim H, Kim JH, Lee J, Son JS, Kim DC, Ko S. Tracheal rupture after endotracheal intubation- a report of three cases. Korean Journal of Anesthesiology, 2012; 62: 277-280.
10. Beiderlinden M, Adamzik M, Peters J. Conservative treatment of tracheal injuries. Anesthesia & Analgesia, 2005; 100: 210-214.
11. Marquette Ch, Bocquillon N, Roumilhac D, Neviére R, Mathieu D, Ramon P. Conservative treatment of tracheal rupture. Journal of Thoracic and Cardiovascular Surgery, 1999; 117: 399-401.
12. Meyer M. Iatrogenic tracheobronchial lesions- a report on 13 cases. Thoracic and Cardiovascular Surgeon, 2001; 49: 115-119.
13. Geltner C, Likar R, Hausegger K, Rauter M. Management of postintubational tracheal injury by endoscopic stent placement: case report and reviewof the literature. Thoracic and Cardiovascular Surgeon Reports, 2016; 5: 8-12.