Prolonged nasal congestion can be a sign of atherosclerosis

Children's Hospital I, Ho Chi Minh City, has performed an operation to remove a large tumor by holding a hand in the nasal cavity of a 14-year-old patient. It is a consequence of vascular fibrosis, but because the doctor first diagnoses, wrongs treatment, the disease changes to the final stage. From

Children's Hospital I, Ho Chi Minh City, has performed an operation to remove a large tumor by holding a hand in the nasal cavity of a 14-year-old patient. It is a consequence of vascular fibrosis, but because the doctor first diagnoses, wrongs treatment, the disease changes to the final stage. It has been just over a year since the outbreak.

Picture 1 of Prolonged nasal congestion can be a sign of atherosclerosis
Doctor Hoang Son and his grandson Dat after the operation was successful (Photo: VNE) Tran Tan Dat, 14 years old (in Tien Giang), had a runny nose, persistent nasal congestion, bought his own medicine for about a year but did not finish . After that, the nostrils of the right nose were swollen, the family members saw that there was something in the nose, so they went to the doctor. Doctors diagnosed him to have sinus rhinitis and to give medicine to drink. After two months of taking medicine to treat sinusitis, Dat not only did not get sick, but he also had nosebleeds, and at the same time, the nasal cavity appeared two visible red lumps of meat. At the provincial hospital, the doctor diagnosed her with sinus sinusitis (sinusitis with excess meat) and transferred to I. Children's Hospital.

On March 17, at Children's Hospital I, after medical treatment for the nose was very dry, the doctor conducted a biopsy and concluded: he had "vascular tumors" - a rare disease but extremely dangerous to life. The characteristic of this disease is that only a very small effect of the tumor will bleed much but cannot stop.

His development of vascular tumors is as follows: the tumor is in the nose, causing the nose to swell. Then lose the nostrils in the cheek, proceeding to break the sinus nasal wall into the jawbone to break the butterfly's sinuses on the back of the jawbone to get into the butterfly's leg, where there are many important blood vessels. According to doctors, if the tumor grows for another 2 weeks, he will be blind and half-paralyzed because the nerves that control these organs are pinched. After that, the tumor continued to develop attacks that broke the skull, went into the skull and died. But the child can also die before the skull is broken due to blood loss. Each time the patient is affected, the patient loses about 400 ml of blood.

The doctors decided to operate immediately after the biopsy results.

Doctor Dang Hoang Son, Head of ENT Hospital, said, with these cases, the risk of death is very high in all three phases, preoperative, on the operating table and after surgery. Before surgery, patients can die from blood loss. During surgery, the process of removing the tumor during surgery may affect important nerves that cause blindness, paralysis or death. After surgery, there is still a risk of death from blood loss if there is a collision in the surgical area. Therefore, postoperative care is very important to ensure surgical results. After 2 weeks, you can make sure the patient is safe.

According to Dr. Hoang Son, the cause of this disease has not been clearly defined. As noted by the world literature, vascular fibroids are caused by disorders of growth hormone. This disease usually occurs in boys. "The disease rarely occurs. Many years ago, no cases were seen, but about a year ago, there were two cases. And my son Dat was the heaviest," said Dr. Hoang Son.

Doctors recommend that boys from 13 to 16 years of age have a stuffy nose, runny nose, and bleeding on one side to think about vascular disease. Immediately brought to the hospital for early treatment. When the tumor is small, the treatment is very simple.

Vo An

Update 14 December 2018
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