During recess, NGB (8 years old in Hanoi) was accidentally pushed by his friends and hit his chest hard on the classroom floor.
After the fall, the child felt pain in the right rib area and had difficulty breathing. Thinking that it was just a minor injury, the family only applied oil to relieve the pain. However, after three days, the child's pain did not improve but became more severe. Worried, the family decided to take the child to the Central Hospital for Tropical Diseases for examination.
At the Pediatrics Department, the test results surprised the family: child B had pain in the right flank, mild difficulty breathing, X-ray images showed a white area in the lower half of the right chest, ultrasound showed pleural effusion and an image of a fluid cyst. CT scan detected a strip-shaped collapsed lung in the lower lobe of the right lung, with an anterior mediastinal fluid cyst measuring 72x80mm.
Dr. Nguyen Thanh Le - Deputy Head of the Department of Pediatrics, Central Hospital for Tropical Diseases said: "In fact, the mediastinal cyst had existed before but had no symptoms. The fall was just a coincidence in timing when the cyst ruptured, making the symptoms more obvious. This means that even without the fall, the child's disease would still progress and become dangerous if not detected promptly."
The patient underwent pleural effusion aspiration, with the aspirated fluid being opaque brown, to reduce pressure on the lungs and provide anti-inflammatory treatment.
After assessing the patient's condition, the doctors consulted with Dr. Khieu Manh Cuong, a thoracic surgeon at the Central Hospital for Tropical Diseases, and diagnosed that child B had a dermoid cyst, a rare congenital disease in the chest.
According to Dr. Cuong, B's anterior mediastinal dermoid cyst is a fairly large germ cell tumor. This is a rare type of tumor, which can be benign or malignant, formed due to abnormal movement of germ cells during embryonic development.
"We decided to perform minimally invasive laparoscopic surgery (VATS) to completely remove the dermoid cyst. This method has many advantages such as small incisions, less post-operative pain, quick recovery time and reduced risk of complications compared to the traditional method.
If not surgically removed, the dermoid cyst cells will continue to grow, with the risk of becoming cancerous. More dangerously, the tumor can cause complications of infection, pneumonia, invasion of the lungs, mediastinum, pericardium, making surgery difficult and increasing the risk of death," Dr. Cuong emphasized.
This is a rare case in a young child, with a ruptured dermoid cyst causing inflammation and adhesions to the diaphragm, chest wall and lungs. Fortunately, the surgery was able to preserve vital organs. During and after surgery, B's lung cavity was cleaned, with no signs of infection.
Despite the difficulty of isolating the lung on the operated side, thanks to the close coordination between the specialists, the 2-hour surgery was successful. After only three days, B recovered well, was able to eat, walk normally and soon returned to daily life.
The case of child B shows that a seemingly small symptom can also be a sign of a dangerous disease. Parents should not be subjective when their child is injured or has prolonged symptoms. If the child shows signs of pain that does not subside, difficulty breathing or other abnormalities, they should be taken to the doctor early for timely detection and treatment. This is also an important reminder for parents: do not ignore any signs, no matter how simple they may seem at first.
Source: https://baophapluat.vn/be-trai-phat-hien-benh-phoi-hiem-gap-sau-mot-cu-nga-post542729.html
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