Saving a newborn girl with rare fatty marrow hernia and situs inversus

On October 24, City International Hospital (CIH) announced that it had successfully performed surgery on a baby girl just over 1 month old with two rare congenital malformations at the same time: lipomyelomeningocele and rare situs inversus.

Doctor examines child patient after surgery

Previously, the baby was born by cesarean section in Cambodia, weighing 2.5 kg. After birth, the family discovered an abnormal mass in the sacrum and was recommended surgery. However, due to the complicated condition (both neurological defects and abnormal organ location), the baby was brought back to Vietnam to receive treatment at City International Hospital.

Here, the baby was consulted by a multidisciplinary team and diagnosed with lipomyelomeningocele with low spinal cord, a central nervous system defect that can severely affect mobility and all organs in the body are symmetrically located in the opposite position to normal - with the heart on the right side. This is a rare case that only occurs in about 1/10,000 newborns.

After a comprehensive assessment, the doctors indicated microsurgery to decompress the herniated area, maximally preserving nerve tissue and preventing future complications. The surgery was performed under absolutely sterile conditions with close coordination between specialists.

Because the patient's entire internal organ structure was reversed, the surgical team had to be especially careful in every operation to determine the exact anatomical position and avoid nerve tissue damage. After many hours of meticulous work, the surgery was a complete success. The hernia was thoroughly treated, the low-lying spinal cord was released, and the nerve tissue was preserved to the maximum.

After surgery, the baby was alert, fed well, had normal lower limb movement, stable digestion and urination. Vital signs were within safe limits. The baby was transferred to the Pediatric Inpatient Department for continued post-operative care and monitoring.

THANH SON

Source: https://www.sggp.org.vn/cuu-be-gai-so-sinh-bi-thoat-vi-tuy-mo-kem-dao-nguoc-phu-tang-hiem-gap-post819738.html