A trumpet in a boy's lung for 7 years, many hospitals failed to detect it

On December 26, Children's Hospital 1 announced that the hospital had just admitted a 15-year-old boy (living in Phu Yen) and removed a foreign object, a trumpet, that had been in his lung for 7 years.

The family said that 7 years ago, the child sat and blew a trumpet (the trumpet was taken from a child's shoe). At that time, the child's friend came and patted his back and the child choked, causing the trumpet to fall inside, but he did not have difficulty breathing or turn purple. The child told his family that he had swallowed the trumpet, and his family heard him breathing out the trumpet at that time. The child was taken to a nearby hospital for an X-ray, but the doctor said that the trumpet would come out through the food, so they did not intervene. After that, the child continued to breathe normally, without difficulty breathing or pneumonia, and occasionally coughed and bought medicine to take and it went away on its own.

Trumpet taken from patient's lung

BVCC

But more than a month ago, the baby suddenly coughed more and his family took him to 2 hospitals in Ho Chi Minh City for examination, suspected pulmonary tuberculosis, treated with pulmonary tuberculosis regimen, re-examination every 10 days. The third re-examination still did not improve, the baby coughed a lot. The CT-Scanner results of the lungs showed a suspected foreign object, so the hospital gave him medicine to take, and re-examined after 10 days. After the re-examination, the foreign object was no longer found, the tuberculosis test was negative, the baby was diagnosed with right pneumonia.

However, when the child returned to his hometown and went to a hospital in Binh Dinh for a check-up, a CT scan of the lungs showed signs of a foreign object in the airway, so the family asked to transfer him to Children's Hospital 1 for an endoscopy.

Get out successfully

On the morning of December 24, the ENT Clinic of Children's Hospital 1 received a child patient for examination due to a persistent cough that had not been cured after treatment in many places. The doctor determined that this was a rare and difficult case of a foreign object with a trumpet, which had been in the lung for too long and very deep in the right subsegmental bronchus.

On Christmas Day, December 25, the surgical team of the Department of Otorhinolaryngology of Children's Hospital 1 performed an endoscopy into the patient's airway to determine the location of the trumpet. The surgeon had difficulty accessing the trumpet because the endoscope was not long enough to reach deep into the lower lobar bronchus, and at the same time, a lot of granulation tissue had grown, forming a mass of tissue that covered the foreign object. In addition, when the endoscope was inserted, a lot of blood flowed into the airway, making it difficult for the surgeon and the anesthesia team to observe. After more than 90 minutes, the endoscopy successfully removed the trumpet from the patient's lung.

Dr. Phu Quoc Viet, Deputy Head of the Department of Otorhinolaryngology, one of the doctors directly involved in the surgery, said: "After many attempts at endoscopy, the team found the foreign object, but the location of the foreign object was a challenge for the surgeon. We used the 4-hand technique, meaning 2 doctors assisted each other in endoscopy and removing the foreign object at the same time. After the first failure, the second time successfully removed the foreign object from the airway. The results of the re-endoscopy of the airway were quite stable, with no more bleeding. This can be considered a great effort by the surgical team, to remove the trumpet from the patient. Now the child can eat, drink, and live normally."

According to the doctor, this is considered a meaningful Christmas gift that the surgical team gave to the baby's parents, "a foreign object gift of a trumpet", small in size but very meaningful.

Source link: https://thanhnien.vn/chiec-ken-trong-phoi-be-trai-7-nam-nhieu-benh-vien-khong-phat-hien-ra-185231226200417642.htm