Vietnamese doctor reports rare case, rarely mentioned in medical literature

(Dan Tri) - Doctors in Ho Chi Minh City discovered a rare disease and predicted that treatment would be complicated, possibly resulting in death during surgery if any mistakes were made.

The Asian Conference on Head and Neck Surgery (ASHNO 2025) recently took place in Ho Chi Minh City, gathering thousands of experts and leading doctors in the field of Otorhinolaryngology - Head and Neck Surgery domestically and internationally.

Master, Doctor, Specialist II Nguyen Truong Khuong, Professional Director of Nam Sai Gon International General Hospital, chaired a session on head and neck surgery and presented a report in English at the conference on a very rare case, bringing many scientific values ​​and practical clinical applications.

Master, Doctor, Specialist II Nguyen Truong Khuong (second from left) takes a photo with the chairmen of the thematic session at ASHNO 2025 (Photo: BVCC).

Rare and complex cases, little reported in literature

Specifically, Dr. Nguyen Truong Khuong reported on “Surgery for a hemangioma that completely occupied the larynx.” The patient, Ms. A. (40 years old), had a feeling of something stuck in her throat and often choked on food 2 months before being hospitalized.

Because she subjectively thought that it was just a sign of indigestion and stomach pain, the patient did not see a doctor but bought medicine to take on her own. When the symptoms of difficulty swallowing became more obvious, the woman went to several local hospitals and was discovered to have a hemangioma compressing almost completely the larynx.

Over time, the patient was unable to eat or drink. At the Saigon South International General Hospital, Ms. A. was examined in the Ear - Nose - Throat department.

Through in-depth examination, Dr. Nguyen Truong Khuong noted that this was a case of a large hemangioma occupying the entire larynx, causing difficulty breathing and swallowing - symptoms that are easily confused with common diseases of the upper respiratory tract.

Faced with the dangerous situation, Dr. Khuong planned surgery.

Image of hemangioma occupying the entire glottis (Photo: BVCC).

“This is one of the rare cases, not a standard surgery, mentioned very little in medical literature, when the boundary between the airway and the blade is only a few millimeters apart, especially when the patient has a history of heart valve replacement and anticoagulant use.

Even a small mistake can cause severe bleeding and be life-threatening. Therefore, the surgery requires careful preparation, precise calculation of each operation and smooth coordination between specialists," the doctor shared.

Firmly integrating from the operating room to the scientific forum

Before surgery, the patient was stopped from taking anticoagulants for 5 days and an active tracheostomy was performed to ensure airway safety. During the many hours of surgery, Dr. Khuong and his team used bipolar electrocautery combined with an ultrasonic knife to completely remove the tumor, minimize blood loss and preserve the laryngeal structure.

After surgery, the patient recovered well, with normal speech, swallowing and breathing functions. This result demonstrates the surgical precision and ability to handle complex cases of the medical team at Nam Sai Gon International General Hospital.

Dr. Khuong (far left) and colleagues at ASHNO 2025 (Photo: BVCC).

The presence as chair and participation in the report at ASHNO 2025 is not only the pride of Dr. Nguyen Truong Khuong, but also a testament to the spirit of learning, sharing and integration of the medical team of Nam Saigon International General Hospital.

“From the operating room to the scientific forum, we are always steadfast in the spirit of integration, not only going further, but also bringing the best of world medicine to serve the Vietnamese people,” shared Master, Doctor, Specialist II Nguyen Truong Khuong.

With over 25 years of experience in the field of ENT - Head and Neck Surgery, Master, Doctor, Specialist II Nguyen Truong Khuong is one of the leading experienced and prestigious experts, always taking the patient as the center in all treatment decisions.

Under the leadership of Dr. Khuong, the ENT department of Nam Sai Gon International General Hospital has become one of the hospital's strong specialties, with thorough investment in human resources and modern technology.

“All for the patient” - the guiding principle for all activities of Nam Saigon International General Hospital (Photo: BVCC).

The department examines, diagnoses and treats head and neck diseases, from common disorders to specialized surgeries such as sinus endoscopy, laryngeal surgery, ear microsurgery and facial cosmetic reconstruction, helping patients feel confident after surgery.

With the support of advanced equipment such as Olympus Visera Elite II OTV-S200 endoscopy system, plasma knife, ultrasonic knife... doctors focus on accuracy, quick recovery and safety for patients.

With the motto “All for the patient”, the team of doctors at Nam Sai Gon Hospital not only provides optimal treatment results but also creates a humane and professional medical experience. This spirit is the foundation that helps the doctors here confidently reach international standards, spreading knowledge and Vietnamese spirit on medical forums.

Source: https://dantri.com.vn/suc-khoe/bac-si-viet-bao-cao-ca-benh-hiem-gap-y-van-it-de-cap-20251106164756055.htm