Introduction. Tracheobronchial disruption is a rare disorder, usually
accompanied by a severe blunt chest trauma that quite rarely appears as an
isolated event. Case Report. This is a case report of a right main bronchus
disruption, due to an injury to the right hemithorax, caused by a falling
tree trunk. The disruption was accompanied by mediastinal emphysema,
fractures of the 4th and 5th ribs on the right side and compound sternal
fracture. The patient was operated in general anesthesia, through right
thoracotomy approach, followed by successful right main bronchus
reconstruction by interrupted suture technique, without anatomic resection
of the lung parenchyma. Conclusion. Although this injury is rare, with
suspicion of bronchial rupture, bronchoscopy confirms the diagnosis and
leads to better prognosis.