Bronchial Rupture After Sled Trauma in a 13-Year-Old Boy

A 13-year-old boy affected by a high-energy trauma (sled against tree) was admitted to the emergency department with respiratory distress and bradycardia. Roentgenography of the chest showed extended subcutaneous emphysema, bilateral pneumothoraces, and pulmonary consolidations (Fig 1). Computed tomography revealed massive subcutaneous emphysema, severe pneumomediastinum, bilateral pneumothoraces, peritoneal and retroperitoneal air, rib...