The chainsaw malfunctioned while in use, a piece of broken chain flew into the 19-year-old's abdomen but was missed, two weeks later forming an abscess.
The patient was taken to Can Tho Central General Hospital on April 2, with a wound in the epigastric region, severe upper abdominal pain, and suspected foreign objects, but local medical facilities could not detect them.
CT scan results at Can Tho Central General Hospital showed a foreign object located under the right liver, about 2x1 cm in size, causing an abscess in the right hypochondrium.
The surgeons performed laparoscopic surgery to remove the foreign object. The team noted a mass of pus under the liver near the gallbladder, duodenum, and colon. They aspirated about 30 ml of opaque white fluid and found the foreign object, a rectangular metal chain.
After surgery, the patient's health improved.
Doctor examines patient, April 8. Photo: Thanh Phong
Doctor Nguyen Khac Nam - Deputy Head of General Surgery Department, said that this case was quite rare because a chain link of the chainsaw penetrated the patient's abdomen through a very small wound (2 cm) so it was easily missed. The foreign object created an abscess.
In this case, surgery is an effective method to remove foreign objects, limit complications, clean nearby organs, and check for damage.
If not detected early or treated promptly, the longer the time, the greater the risk of the abscess growing larger, the more serious the complications, causing organ perforation, peritonitis, infection, severe poisoning...
The chainsaw chain was removed from the patient's abdomen. Photo: Thanh Phong
An Binh
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