or a two-year-old Rohan Kumar's parents, it was a shock when doctors in Delhi said he has tuberculosis and was put on TB treatment.
For a two-year-old Rohan Kumar's parents, it was a shock when doctors in Delhi said he has tuberculosis and was put on TB treatment. After being on treatment for a month, he was brought to Sion hospital, only to know that his breathlessness is not due to TB but a vascular tumour that was growing between his pleura and pericardium, thereby collapsing his right lung.
"Pleura is a thin membrane that lines the surface of the lungs and the inside of the chest wall outside the lungs; pericardium is the covering of the heart. Diagnostic tests showed that there was liquid accumulation in the chest region, but we were not sure what it is. His right side of the lung had collapsed," said Dr Paras Kothari, head of paediatric surgery, Sion hospital.
With Rohan's condition getting worse, Sion hospital doctors decided to take him up for surgery. "We sent a scope to the thorax region. It was not of much help as the area was full of blood. We decided to open him up," said Kothari.
He added that they were surprised to see 100-150 cc blood accumulation in the chest cavity. "During the surgery, we found that there was communication between the pericardium and pleura because of which there was blood accumulation. This was pressing on the lungs, leading to the right one's collapse," explained Kothari.
He also said that a child of Rohan's age weighs 10 to 12 kg and has 70-80 cc blood. "He was lucky to be operated on time. Medical literature has no mention of such a condition, although vascular tumour is very common."
Rohan was kept in the hospital for a week. Kothari said his lungs returned to normal size within three days of surgery.
Seeing the uniqueness of the case, the department has decided to send Rohan's case to a medical journal.
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