Patient N.V.N (62 years old) was admitted to 108 Central Military Hospital with right chest pain and 3 days of lao frontal pain after endoscopy failed to remove the foreign object in the front line.
After examination, the doctor determined that this was a very high-risk case, due to a hard, sharp plastic foreign object at both ends, nearly 4 cm long, penetrating the two esophagal walls of the chest, causing overflow of the mediastinum and right lung banks, which could threaten life if the foreign object crashed into the aorta.
Immediately, the patient was consulted by an interdisciplinary team including Gastroenterology, Gastroenterology and Thoracic Surgery. The medical team quickly placed a preventive pulmonary drainage unit and performed an emergency endoscopy.
After only 20 minutes of meticulous surgery, the doctors successfully removed the foreign object with a specialized straw, along the parallel esophagus, minimizing the risk of bleeding or falling into the airway. Post-process check showed two ulcers at the penetrating location but no more bleeding. The patient was monitored, treated stably and discharged after 5 days.
Dr. Ngo Thi Hoai - Deputy Head of the Department of Gastroenterology - said: Sharp foreign objects in the digestive tract are extremely dangerous. Early treatment, accurate assessment and multidisciplinary coordination help protect the patient's life with a less invasive method.
The doctor recommends that when swallowing foreign objects (xyroids, plastic, toothpick, metal, etc.), absolutely do not self-treat or try to swallow more food.
Eat slowly, chew thoroughly, don't eat at the same time as speak.
Monitoring young children and the elderly when eating.
Go to a medical facility with experience in emergency endoscopy for timely treatment.
