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Traumatic massive tension pneumothorax due to a break in the middle lobe bronchus
  1. Gerardo Andres Obeso Carillo,
  2. Eva Maria Garcia Fontan
  1. Department of Thoracic Surgery, Vigo University Clinical Hospital, Vigo, Spain
  1. Correspondence to Dr Gerardo Andres Obeso Carillo, Department of Thoracic Surgery, Vigo University Clinical Hospital, Pizarro 22, Vigo 36204, Spain; andresobca{at}hotmail.com

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A patient presented respiratory failure and haemodynamic instability after falling from a height of 6 m. After a high suspicion of tension pneumothorax based on clinical status and pulmonary auscultation, the emergency physician inserted a Pneumocath (8 Fr; 2.7 mm) while in the ambulance. Once in hospital, CT scan (figure 1) showed a tension pneumothorax that caused an important left displacement …

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