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Critically due to the fish bone piercing the colon

Ho Chi Minh CityA 74-year-old man, after eating rice with fried howler fish, gradually increased abdominal pain, vomiting, high fever, infection, and death.

Dr. Huynh Thanh Long, Head of General Surgery, Nguyen Tri Phuong Hospital, on May 18, said that the patient was indicated for emergency surgery because of the clinical examination and contrast-enhanced abdominal computed tomography scan. possibility of perforation of the transverse colon.

The surgical team discovered that a fish bone about 3 cm long had penetrated from the transverse colon. The doctors successfully removed the foreign body and cleaned the abdomen. After surgery, the patient was actively resuscitated, using vasopressors and mechanical ventilation. Currently, he is out of danger and is being monitored.





The patient was given vasopressors and mechanical ventilation after surgery.  Photo: Provided by the hospital

The patient was given vasopressors and mechanical ventilation after surgery. Image: Hospital provides

According to Dr. Long, gastrointestinal perforation caused by foreign bodies is a rare condition, because most non-sharp foreign objects are usually eliminated within a few days and leave no sequelae. Particularly, sharp foreign objects, when moving deep into the digestive tract, are easy to pin to the wall of the digestive tract, causing perforation. In particular, when the colon is punctured, the patient’s condition progresses seriously, and it is likely to die as in the above case. Some common gastrointestinal foreign bodies are toothpicks, fish bones, blister packs, ivory comb pieces…

Doctors recommend that when a foreign body is detected, the patient should go to the hospital soon for esophagoscopy to remove the foreign object, to avoid letting them move down, causing serious complications, even death.

Le Phuong

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