Baby boy has difficulty breathing and turns purple due to choking on mango stem

The mother carried the baby on her shoulder and patted her back to calm her down. After seeing that her baby stopped coughing and crying, the mother monitored the baby at home. The next morning, the baby had difficulty breathing and had a cyanotic attack and was taken by the family to a lower-level hospital. Here, the baby was intubated and transferred to the City Children's Hospital (HCMC). The baby had two bronchoscopy to remove the foreign object, but because the foreign object was deep in the right lower lobe bronchus, accessing and removing the foreign object was difficult. This hospital consulted with Children's Hospital 2.

After consultation, the leaders of Children's Hospital 2 sent an endoscopy team consisting of Respiratory and Otolaryngology doctors along with a bronchoscopy system using a flexible endoscope and necessary supporting equipment. With the cooperation, the doctors successfully removed the foreign object, which was the stem of a mango. Currently, the child's condition is stable and is still being treated and monitored.

On April 28, specialist doctor 2 Le Thi Thanh Thao, Deputy Head of Respiratory Department 1, Children's Hospital 2, a member of the support team, said that foreign bodies in the airways are a common dangerous accident in children. Especially in children under 3 years old, because this is the age group that likes to explore and often puts objects in their mouths, or it can happen in older children due to carelessness during daily activities.

Every year, the hospital still receives cases of children being admitted due to foreign bodies in the airways. Most of the children are admitted in emergency situations, some cases can progress to severe, especially life-threatening or causing serious physical and mental effects on the child.

The mango stem was successfully removed.

From the above incidents, Dr. Thao recommends that young children should limit their use of small objects. For older children, families and schools should regularly educate and remind them to limit playing with learning tools and small objects, and not to put them in their mouths to avoid the risk of choking. When children show signs of choking on foreign objects, after performing first aid at home, parents need to take their children to a medical facility for timely examination and treatment.

Many cases of choking on foreign objects are learning tools.

Doctor Thao said that previously, Children's Hospital 2 had successfully treated two cases of primary school-age children with foreign bodies in their airways due to inhaling pieces of school supplies.

The first case was a 7-year-old girl named N.D., residing in Binh Duong . Her mother said that while playing with her siblings at home, D. bit the eraser end of a fountain pen and accidentally swallowed it. After swallowing, D. choked, coughed a lot, did not vomit, and had abdominal pain. Her family observed that she had increasing difficulty breathing, swelling in her neck and face, and took her to the provincial hospital for examination and initial treatment. The patient was transferred to Children's Hospital 2 and diagnosed with a foreign body in the airway, pneumothorax, and pneumomediastinum. D. underwent bronchoscopy to remove the foreign body and placed a ventilation tube. After nearly a week of treatment, the doctor found that D. was stable and discharged her from the hospital.

Another case is a 7-year-old boy in Binh Thuan province. During recess at school, he and his friends were joking and biting the end of a ballpoint pen to get the tip. Because of choking, the boy started to have a hoarse voice and had difficulty breathing and was taken to the nearest medical facility by the school, then transferred to Children's Hospital 2. At the hospital, the patient was urgently endoscopyed by doctors. Because the glottis was severely swollen, it was very difficult to access and remove the foreign object. The doctors removed the foreign object, helping the boy overcome the critical condition. Currently, the boy's condition is stable and he is being monitored.

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