Sagaya Fernando Mumbai: 6 November 22 A team of doctors at Apollo Multispecialty hospital in Triuchirappalli, Tamil Nadu, India, saved the life of a 33-years-old man whose neck was pierced through by a feet long iron rod. Karthikeyan, a resident of Ariyamangalam in the city, was watering the concrete slabs on the first floor of his under-construction house when he accidentally slipped and fell 15 to 20 feet down, on October 15. As he fell, a 5 feet long iron rod with serrated edges pierced through his neck and came out from the back. “Within fifteen minutes of the mishap, his relatives rushed him to our hospital which is in close vicinity,” informed Apollo Multispecialty Hospital, Triuchirappalli, Consultant General, Laparoscopic and Bariatric Surgeon Dr Mohamed Mansoor, who led the operating team. “On evaluation in emergency, it was seen that he had a 5 feet long iron rod penetrating into the anterior aspect of neck and exiting the posterior aspect of neck.
Man swallows 19-cm long toothbrush, doctors pull it out from his stomach
Sagaya Fernando
Mumbai: 22 September 2020
The habit of using a toothbrush to clean the throat proved too dangerous for a man in India when he inadvertently swallowed the whole brush. Luckily for him, doctors removed the 19 centimetres (7.5 inches) long brush – which had entered his stomach – within 24 hours and saved his life.
The 49-year-old man (name withheld to protect identity) from the small town of Roing in the North-eastern state of Arunachal Pradesh, India, was as his routine after brushing the teeth was cleaning his throat with the toothbrush on September 15 morning when it accidentally slipped past his food pipe.
The frightened man rushed to a nearby private clinic where he was asked to go to a hospital at Pasighat, located around 108 kilometres away (two and a half hours drive away) from Roing. The doctors there referred him to the state run Bakin Pertin General Hospital (BPGH).
At BPGH, Ear Nose Throat (ENT) specialist Dr Bolut Taki carried out esophagoscopy, x-ray and blood test, but could not locate the toothbrush.
“The patient was taken to a private hospital in Pasighat at around 1 pm on September 15 from there he was referred to our hospital. The ENT surgeon of our hospital investigated the patient and planned to conduct an esophagoscopy, while I checked the patient at around 6 pm. The esophagoscopy procedure was conducted on September 16 morning, but the toothbrush couldn’t be found in the oesophagus – the muscular tube connecting the pharynx (throat) with the stomach. This meant that the toothbrush had entered into the stomach,” said senior surgeon Dr Bomni Tayeng at BPGH.
Dr Tayeng said that the patient was not feeling any pain after ingesting the toothbrush and was experiencing only minor discomfort in his upper abdomen.
“As the toothbrush couldn’t be detected in the x-ray, I then decided to conduct an exploratory laparotomy process under general anaesthesia in the same sitting. The brush could be easily felt in the stomach and was removed through a small incision in the stomach. This procedure took only about 30 minutes,” informed Dr Tayeng.
He further added, “The very next day (September 17) he started taking oral fluids, and had an uneventful recovery. He was discharged on September 21.”
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