A trumpet in a 7-year-old boy's lung, many hospitals failed to detect it.

On December 26th, Children's Hospital 1 announced that it had recently admitted a 15-year-old boy (from Phu Yen province) and removed a foreign object – a trumpet – that had been in his lung for 7 years.

The family reported that seven years ago, the child was sitting with a toy trumpet in her mouth, blowing into it (the trumpet had been taken from a child's shoe). At that moment, a friend patted her back, causing her to choke, and the trumpet fell into her stomach. However, she didn't experience difficulty breathing or cyanosis. She told her family she had swallowed the trumpet, and they heard her breathing out the sound of the trumpet at that time. She was taken to a nearby hospital for an X-ray, but the doctor believed the trumpet would pass out through her digestive tract and didn't intervene. Afterward, she breathed normally, without difficulty breathing or pneumonia, occasionally coughing, which resolved itself with medication.

Chiếc kèn trong phổi bé trai 7 năm, nhiều bệnh viện không phát hiện- Ảnh 1. — The trumpet was removed from the patient's lung.

But more than a month ago, the child suddenly started coughing more, and the family took her to two hospitals in Ho Chi Minh City for examination. Suspected of pulmonary tuberculosis, she was treated with a tuberculosis treatment regimen, with follow-up appointments every 10 days. At the third follow-up appointment, her condition did not improve, and she continued to cough. A CT scan of the lungs suggested a foreign body, so the hospital prescribed medication and scheduled a follow-up appointment after 10 days. At the subsequent follow-up, the foreign body was no longer visible, and the tuberculosis test was negative. The child was then diagnosed with right-sided pneumonia.

However, when the child returned to their hometown and was examined at a hospital in Binh Dinh, a CT scan of the lungs suggested a foreign object in the airway, so the family requested a transfer to Children's Hospital 1 for airway endoscopy.

Successfully removed.

On the morning of December 24th, the Ear, Nose, and Throat Clinic at Children's Hospital 1 received a child patient who came for examination due to a persistent cough that had not improved despite treatment at other hospitals. Doctors determined that this was a difficult and rare case of a foreign object, a trumpet, lodged in the lung for an excessively long time and very deep in the right lower bronchus.

On Christmas Day, December 25th, the surgical team from the Department of Otolaryngology at Children's Hospital 1 performed an endoscopic procedure to locate the trumpet in the patient's lung. The surgeons faced difficulties accessing the trumpet because the endoscope was not long enough to reach deep into the lower bronchi of the lung segment, and a large amount of granulation tissue formed a mass obscuring the foreign object. Furthermore, significant blood flow into the airway during insertion hampered observation by the surgeons and the anesthesia team. After more than 90 minutes, the endoscopic procedure successfully removed the trumpet from the child's lung.

Dr. Phu Quoc Viet, Deputy Head of the ENT Department and one of the doctors directly involved in the surgery, said: "After many attempts at endoscopic examination, the team located the foreign object, but its position was a challenge for the surgeons. We used a four-hand technique, meaning two doctors assisted each other in endoscopic examination and removal of the foreign object simultaneously. After the first attempt failed, the second attempt was successful in removing the foreign object from the airway. The results of the follow-up endoscopic examination of the airway are quite stable, with no more bleeding. This can be considered a tremendous effort by the surgical team to remove the trumpet from the patient. Currently, the child can eat, drink, and live normally."

According to the doctor, this was considered a meaningful Christmas gift from the surgical team to the baby's parents, "the trumpet-shaped foreign body gift," small in size but very significant.

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