According to information from the Central Hospital for Tropical Diseases, during recess, NGB (a second grader in Hanoi) was accidentally pushed by his friends and hit his chest hard on the classroom floor. After the fall, he felt pain in his right ribs and had difficulty breathing.
Thinking that the injury was minor, the family only applied oil to relieve the pain. However, after 3 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 when the X-ray image showed a white area in the lower half of the right chest, the ultrasound showed pleural effusion and an image of a fluid cyst. The CT scan detected a strip-shaped collapsed lung in the lower lobe of the right lung, with an anterior mediastinal fluid cyst measuring 72 x 80 mm.
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 illness would still progress and become dangerous if not detected promptly."
Child B had pleural fluid aspirated and doctors diagnosed that child B had a dermoid cyst, a rare congenital disease in the chest.
B's anterior mediastinal dermoid cyst is a fairly large germ cell tumor. This is a rare tumor that can be benign or malignant, formed by abnormal migration of germ cells during embryonic development.
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.
Doctors performed endoscopic surgery to completely remove the patient's dermoid cyst. After 3 days of surgery, child B recovered well and soon returned to daily life.
Doctors recommend that, from the case of child B, 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.
Source: https://cand.com.vn/y-te/bi-xo-nga-hoc-sinh-lop-2-vo-tinh-phat-hien-khoi-u-phoi-hiem-gap-i762265/
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