Many hospitalizations are due to accidental swallowing of foreign objects.

Recently, doctors at the Department of Gastrointestinal Surgery, E Hospital, have been continuously receiving and treating many patients with dangerous complications due to accidentally swallowing foreign objects.

Notably, these patients were unaware of when they had swallowed the foreign object until their condition worsened and dangerous complications arose, requiring emergency hospitalization. Most recently, a 65-year-old woman from Bac Giang suffered a perforated small intestine after swallowing a 2cm foreign object.

Doctors at Hospital E are treating a patient who suffered a foreign body injury in the digestive tract.

According to Dr. Nguyen Khac Diep, Department of Gastrointestinal Surgery, E Hospital, the patient was admitted with severe abdominal pain around the navel, increased pain in the epigastric region, abdominal distension, constipation, and fever…

Upon receiving the patient, the doctors promptly conducted a clinical examination and ordered necessary tests, ultrasounds, and imaging scans.

The abdominal CT scan revealed a foreign body within the lumen, along with mild thickening of the wall of the anterior jejunal loop in front of the left kidney, infiltration, and surrounding lymph nodes.

Thanks to their extensive experience in diagnosing and treating similar cases, the doctors in the Department of Gastrointestinal Surgery quickly identified that the patient had a foreign object perforating the small intestine. Immediately, they held an emergency interdisciplinary consultation and ordered emergency surgery to remove the foreign object.

According to the patient's medical history, they experienced abdominal pain and had previously sought medical attention, where they were diagnosed with a foreign object in the digestive tract.

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At this time, through the 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 capable of promptly handling dangerous complications of the disease. Therefore, at the family's request, this medical facility transferred the patient to E Hospital for emergency treatment.

However, the difficulty with this case lies in the patient's history of mitral valve surgery, tricuspid valve reconstruction, and ongoing use of anticoagulants; therefore, special attention must be paid to the patient's blood clotting disorders during surgery.

Doctors from the Department of Gastrointestinal Surgery contacted and consulted with doctors from the Cardiovascular Center at Hospital E to quickly develop a treatment plan for the patient.

First, the doctors instructed the patient to completely stop taking anticoagulants and to receive a blood transfusion to improve blood clotting before surgery.

Subsequently, during the treatment process, especially regarding the use of medication and the dosage of drugs during surgery, doctors carefully consider all aspects to minimize risks and complications during and after the operation.

According to Dr. Nguyen Khac Diep, after examining the abdominal cavity, they discovered two perforations in the first loop of the jejunum, 30cm from the Treitz angle. One perforation had a free edge measuring 0.2cm, covered by the fatty lining of the colon, while the other had a mesenteric edge causing bleeding, measuring 0.2cm, due to a long, granular object.

During surgery to remove the foreign object from the injury site, doctors discovered that it was a hard, pointed red apple seed, 2 cm long, that had pierced the wall of the small intestine, causing intestinal damage.

"Previously, the Department of Gastrointestinal Surgery at E Hospital had performed emergency surgery on many similar cases of foreign body ingestion, such as fish bones, chicken bones, pill casings, toothpicks, etc. However, swallowing red apple seeds, as in this patient's case, is the first time we've encountered such a situation," added Dr. Nguyen Khac Diep.

After the surgery, the doctors informed the patient about the foreign object that had "accidentally" punctured the intestine, much to the patient's surprise. This was because the patient had previously eaten red dates from a bird's nest soup. However, it's possible that due to insufficient chewing, the patient swallowed the food containing the foreign object without realizing it, leading to this situation.

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According to doctors in the Department of Gastrointestinal Surgery, it is not uncommon for patients to have foreign objects perforating their stomach or small intestine.

As in this patient's case, the red apple seed has two very sharp ends, making it extremely dangerous when it enters the digestive tract. Initially, it might just get stuck in the throat, but later it could puncture the wall of the digestive organ, as in the case mentioned above. If not detected and treated promptly, it can be life-threatening.

Dr. Nguyen Khac Diep advises that, especially for the elderly and young children, who have weaker chewing and swallowing reflexes, extra caution is needed when eating, particularly with foods containing small bones such as chicken and fish.

Everyone needs to chew thoroughly and slowly, and should not underestimate even small bones. In cases of persistent, dull abdominal pain that doesn't subside, or any other unusual abdominal pain, the patient should be taken to a reputable medical facility for examination, diagnosis, and timely treatment by a doctor to avoid dangerous complications that could endanger the patient's life.

Source: https://baodautu.vn/nhieu-truong-hop-nhap-vien-do-nuot-nham-di-vat-d222449.html