LAUSR

Tracheal rupture in the newborn represents a rare but severe injury with a difficult therapeutic management and causality interpretation. Here we present the case of a macrosomic female newborn who presented after a dystocic delivery with a series of complications: respiratory impairment, subcutaneous emphysema, pneumothorax, anemia, and finally a diagnosed tracheal tear, which led to a short survival despite the continuous emergency care. The same issues encountered here were also found in the literature and are represented by the delayed diagnosis, the nonspecific initial clinical signs, the lack of a commonly accepted appropriate treatment, the assessment of the mechanism of rupture, the anatomical characteristics of the injury, and the patient management within the whole clinical context.