Imagine a six-inch-long iron rod piercing through the body of a person! Is it possible to survive after this? A 19-year-old boy named Mukul who hails from New Delhi was stabbed a six-inch-long iron rod in the back that had pierced through his chest. The teen boy was brought to the emergency department of the hospital around three months back in a serious condition. A pointed iron rod was protruding out of his chest piercing through his internal organs. About 7-8 cm of the iron rod was stuck in his body which punctured the posterior chest wall. This formed a massive blood clot that got scanned in the CT Scan.
An Emergency Condition
Dr. Priyadarshini Singh, Head of Department, Emergency, Indraprastha Apollo Hospitals said, “excessive mediastinal bleeding is a serious complication of cardiac surgery with cardiopulmonary bypass (CPB). This condition increases the risk of infection and heart failure due to the operation.”
Upon assessing the condition of the boy, doctors found out that rod was stabbed close to the major blood vessels of the body which could have been caused a huge blood clot on the side of the chest which could turn fatal for the boy if not treated on time. The medical team, thus, decided to operate considering this as an emergency.
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"The major challenge was that all procedures had to be done with him lying on his stomach as he had this huge iron rod sticking out of his back. In such cases, the foreign body should not be touched until the patient goes to the operation theatre. This is because the object is actually helping to control the bleeding as it creates pressure. If removed without proper precautions, there could have been blood loss and even death within minutes. To prevent blood loss we had also made arrangements for blood in advance," Dr. Singh said.
Thoracotomy is a surgical process where the chest is opened to treat the clot. In this case, there was a massive clot on the aorta along with another injury on the left side of the lung. Talking about this surgery, Dr. Muthu Jothi, Senior Consultant, Paediatric Cardio-Thoracic Surgeon said, "An incision was made between 2 ribs in the chest wall from front to back to operate on lungs. We then placed a chest tube to make sure that blood or air does not collect in the chest. Later he was put on nasal prongs with oxygen. There was also a linear tear in the diaphragm which was repaired to prevent any complication. We sealed all the wounds and closed the chest in layers.”
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The Patient Recovered post-surgery and was discharged a couple of days later. He was advised optimal rest and medications to speed up the healing.
"We suggested ample rest and precautions for two months post-surgery. When Mukul visited us last week for follow up, he was advised to resume to his normal life as he seemed perfectly healthy," Dr. Jothi said.
This case is one-of-a-kind as despite injuring the internal body parts, the patient survived and also recovered.
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