Recently, doctors at the Department of Digestive Surgery, E Hospital have continuously received and provided emergency care to many cases of patients experiencing dangerous complications due to swallowing foreign objects.
It is worth mentioning that these patients do not know when they have swallowed a foreign object, only when the disease has become severe, dangerous complications appear and they have to be hospitalized for emergency care, is it discovered. The most recent case is a female patient (65 years old, in Bac Giang) with a perforated small intestine due to swallowing a 2cm long foreign object.
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| Doctors at E Hospital treat a patient with an accident involving a foreign body ingested. |
Dr. Nguyen Khac Diep, Department of Digestive Surgery, E Hospital said that the patient was admitted to the hospital with severe abdominal pain around the navel, increased pain in the epigastric region, abdominal distension, constipation, and fever...
As soon as the patient was admitted, the doctors quickly conducted a clinical examination and ordered the patient to undergo the necessary tests, ultrasounds, and x-rays...
Abdominal CT scan results showed a foreign body in the lumen with mild thickening of the jejunal loop wall in front of the left kidney, infiltration and surrounding lymph nodes.
Thanks to their extensive experience in diagnosing and treating many similar cases, the doctors of the Department of Digestive Surgery quickly determined that the patient had a foreign object perforating the small intestine. Immediately, the doctors held an interdisciplinary emergency consultation and ordered emergency surgery to remove the foreign object from the patient.
Through medical history, the patient had abdominal pain and went to a medical facility for examination, and was diagnosed with a foreign object in the digestive tract.
At this time, through the mass media, the patient's family learned that E Hospital was a medical facility with a sufficient team of highly qualified and skilled doctors and modern equipment that could promptly handle dangerous complications of the disease. Therefore, according to the family's wishes, this medical facility transferred the patient to E Hospital for emergency care.
However, the difficulty of this case is that the patient has a history of biologic mitral valve surgery, tricuspid valve reconstruction, and is taking anticoagulants, so when performing surgery, special attention must be paid to the patient's blood clotting disorder.
Doctors from the Department of Digestive Surgery contacted and consulted with doctors from the Cardiovascular Center, E Hospital to quickly come up with a treatment plan for the patient.
First, the doctors ordered the patient to completely stop taking anticoagulants and to have a blood transfusion to increase blood clotting ability before surgery.
Then, during the treatment process, especially the use of medication as well as the dosage of medication during surgery for the patient, the doctors also carefully "weigh and measure" to minimize risks and complications during and after surgery for the patient...
Doctor Nguyen Khac Diep said that after examining the abdomen, he discovered two holes in the first jejunal loop 30cm from the Treitz angle, one free edge measuring 0.2cm was covered by colon fat, the other mesenteric edge caused bleeding measuring 0.2cm due to a long granular object.
During surgery to remove the foreign object from the damaged area, doctors discovered that the foreign object was a hard, red apple seed with sharp ends and 2 cm long, piercing the wall of the small intestine, causing intestinal damage.
“Previously, the Department of Digestive Surgery, E Hospital performed emergency surgery on many cases of swallowing foreign objects similar to fish bones, chicken bones, medicine shells, toothpicks, etc. However, swallowing red apple seeds, like this patient's case, is the first time this has happened,” added Dr. Nguyen Khac Diep.
After the surgery, the doctors informed the patient about the foreign object that caused the “accident” of puncturing the intestine. The patient was surprised because he had eaten the red apple in the bird’s nest dish before. But perhaps because he did not chew thoroughly, he swallowed the food with the foreign object inside without realizing it, leading to this situation.
According to doctors in the Department of Digestive Surgery, the condition of patients having foreign objects piercing their stomachs and small intestines is not uncommon.
As in the case of this patient, the red apple seed has two very sharp ends, which is very dangerous when entering the digestive tract. At first, it may just get stuck in the throat, then it may puncture the digestive system as in the above case. If not detected and treated promptly, it will endanger the patient's life.
Doctor Nguyen Khac Diep recommends that, especially for the elderly and children, the chewing and swallowing reflex is weaker and they need to be especially careful when eating and drinking, especially with foods from animals with small bones such as chicken, fish, etc.
People need to chew carefully, slowly, and not be subjective with bones, even small ones. When falling into cases such as persistent dull abdominal pain that does not subside, or any unusual abdominal pain, the patient should be taken to a reputable medical facility for a doctor to examine, diagnose, and have timely treatment, avoiding dangerous complications that may occur, endangering the patient's life.
Source: https://baodautu.vn/nhieu-truong-hop-nhap-vien-do-nuot-nham-di-vat-d222449.html
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