Hyderabad: Kamineni docs remove mutton bone stuck near heart in elderly patient

Hyderabad: Doctors in Hyderabad successfully removed a mutton bone lodged in the oesophagus of a 66-year-old patient from Yadadri Bhuvanagiri district.

The bone had been causing severe complications for over a month, including oesophagal ulcers. This complex procedure was performed endoscopically by Dr Radhika Nittala at the LB Nagar Kamineni Hospital, avoiding the need for major surgery.

Sriramulu, a resident of Kakkiren village in Yadadri Bhuvanagiri district, faced this situation due to his inability to chew food properly, as he lacks teeth. While attending a marriage, he consumed mutton, inadvertently swallowing a 3.5 cm-long bone. Initially experiencing chest pain for a few days, Sriramulu sought medical advice from local doctors, who misdiagnosed the issue as gastric trouble.

Persistent pain led him to seek further consultation at Kamineni Hospital in Narkatpally, where an endoscopy revealed the bone stuck in his oesophagus. The case was then referred to LB Nagar Kamineni Hospital for specialized care. Dr Radhika Nittala, consultant medical gastroenterologist, and her team undertook the challenge of removing the impacted bone using an endoscopic procedure.

Bone caused ulcers

Dr Radhika Nittala detailed the intricacies of the case: “Sriramulu’s condition was severe due to the prolonged presence of the impacted bone, which had pierced the oesophagal wall very close to the heart, causing ulcers. The bone’s proximity to the pericardium required meticulous handling during the endoscopic procedure to avoid further complications i.e. perforation.”

The procedure was a success. Dr Nittala emphasised the importance of timely medical intervention in such cases.

“Had the bone not been removed in time, the ulcer would have completely pieced the oesophagus causing perforation and necessitating major surgery. We managed to avert these risks through careful endoscopic manoeuvring during its removal,” she explained.

A strict diet is a must

Post-procedure, Sriramulu was advised to follow a strict dietary regimen to facilitate recovery. “We recommended a liquid diet initially, including coconut water, to allow the ulcers to heal. He is now relieved from pain and has progressed to eating a soft diet,” Dr Nittala added.

Dr Nittala also highlighted the importance of proper food consumption, especially for those with dental issues. “People of all ages should chew their food thoroughly. Individuals without teeth should consume well-cooked, soft foods and avoid bones,” she said. The successful management of this challenging case underscores the capabilities and dedication of the medical professionals at LB Nagar Kamineni Hospital, providing a beacon of hope for similar cases in the future.