On September 12, specialist doctor Nguyen Minh Thuan, Department of Internal Medicine, Tam Anh General Hospital (HCMC), said that the foreign object was a beer can lock ring measuring 2x1 cm, located deep in the bronchial mucosa, creating a localized infection.
Foreign objects stuck in the patient's airway for a long time, phagocytosis occurs causing granulation tissue to grow, covering and surrounding the foreign object.
"The longer it is left, the deeper the foreign object will penetrate into the bronchial mucosa, increasing the risk of complications such as pneumonia, respiratory failure, and endangering life," said Dr. Minh Thuan.
Taking his medical history, Mr. N. said that while eating, his nephew accidentally put a beer can lock ring in his glass. He forgot to take it out, then drank the whole glass while eating. At that time, he coughed and choked, went to the local hospital for examination, had a stomach endoscopy and had an X-ray of his cervical spine but no foreign object was detected.
Dr. Minh Thuan said that the above two techniques cannot detect foreign objects in the airways. A chest X-ray or lung CT scan is needed for an accurate diagnosis.
Mr. N. was prescribed internal medicine with high-dose antibiotics and anti-inflammatory drugs for 5 consecutive days to control the infection and prevent complications of pneumonia. After that, the foreign object in the patient's bronchus was removed by flexible bronchoscopy.
Beer can lock ring in patient's lung before and after being removed
Endoscopic removal of foreign objects in the operating room
The doctor determined that the foreign object was located deep in the bronchial mucosa and covered by a lot of granulation tissue, so the endoscopic removal of the foreign object had a high risk of tearing the bronchus. At that time, massive bleeding in the airways would be difficult to stop, endangering the patient's life.
To ensure patient safety, multidisciplinary doctors consulted and agreed to perform endoscopic removal of the foreign object in the operating room. In critical cases, open surgery may be performed immediately.
During the 30 minutes, the doctor carefully manipulated, rotated and pressed the foreign object little by little, successfully removing the foreign object. After the anesthesia wore off, Mr. N. regained consciousness, talked, walked, and ate normally. His cough improved significantly.
"When there are symptoms or suspicions of foreign body aspiration, patients should promptly visit a respiratory or internal medicine specialist. If necessary, the doctor may order a chest X-ray or lung CT scan to help diagnose and promptly detect foreign objects. From there, measures can be taken to safely remove the foreign object, avoiding long-term danger," Dr. Thuan advised.
Source: https://thanhnien.vn/ho-khan-3-thang-di-kham-phat-hien-khoen-khoa-lon-bia-ket-trong-phoi-185240912150724043.htm
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