A healthy, smoker farmer had a serious accident with a tracheal rupture. After 1 year of subjective wellness, he developed a persistent fever, cough and dyspnea, partially solved by antibiotics and steroids. Several investigations were performed, but they were all negative. A treatment with steroids was administered with a good initial response but subsequent worsening up to respiratory failure two years later, that required intubation and VAM. A bronchoscopy demonstrated the presence of a severe tracheobronchomalacia, possibly caused by post-traumatic chondritis. A Dumon Y silicone stent was inserted but, due to dislodgement, was replaced with a metallic stent, nevertheless a malacic progression was observed, and the patient died in two weeks due to septic shock.