After being operated on by doctors of Hue Central Hospital twice and undergoing intensive internal medicine treatment for 2 days, up to now, the baby has breastfed well and gained weight.
On the morning of August 1, information from Hue Central Hospital said that doctors from the Neonatal-Pediatric Intensive Care Department, Pediatric Center of the unit had successfully treated and discharged a child case. Newborn with strangulated small bowel volvulus due to internal hernia through a natural defect in the mesentery with meconium obstruction.
This is a rare condition in infants. After being operated on twice and undergoing intensive internal medicine treatment for 2 days, up to now, the baby is breastfeeding well and gaining weight.
Before giving birth, the pregnant woman showed signs of fetal distress, the fetus had little movement.
The ultrasound results show that the fetus has a dilated stomach and colon, which sets the diagnosis of fetal peritonitis, gastrointestinal malformations.
Immediately after that, the pregnant woman was assigned to have a cesarean section when the gestational age reached 34 weeks and 4 days.
The newborn was born prematurely with a weight of only 2.100g. The child groans, the abdominal skin is pale, the abdominal wall reaction is positive, the whole abdomen is hard to palpation.
Immediately after that, the child was transferred to the Neonatal Intensive Care Department - Neonatal intensive care.
After performing laboratory tests in a timely manner, multi-specialty consultation with the Department of Diagnostic Imaging and Department of Pediatric Surgery - Abdominal Emergency, the doctors diagnosed, the child had intestinal obstruction and indicated emergency surgery. .
When performing laparotomy, doctors discovered that a segment of the patient's small intestine herniated through a natural defect in the small bowel mesentery, leading to strangulated volvulus.
After surgery, the child was transferred to the Neonatal-Pediatric Intensive Care Unit and received intravenous nutrition, ensuring energy recovery after the major surgery, active antibiotic treatment, vitamin supplements. .
In the second surgery, the doctors performed the reconstruction of the narrowed anastomosis for the child. After that, the child was fed by mouth, increasing gradually according to demand.
The baby is feeding well, gaining weight, urinating normally, the abdomen is soft, the incision heals well.
Intestinal volvulus is a disease that causes intestinal obstruction and stagnation of food, reducing blood flow to the intestine, causing inflammation, intestinal necrosis, peritonitis, which is life-threatening.
Dr. Nguyen Thanh Xuan, Deputy Director of Hue Central Hospital, said that there are many causes of intestinal volvulus, in which internal hernia through natural defect in the small bowel mesenteric foramen is a rare cause. seen in neonates but is more common in children with meconium ileus.
When suffering from this disease, children need to be diagnosed and treated with early surgery to preserve the intestine as much as possible. If not treated in time, the damaged intestine may become irreversible necrosis; from there, causing infection, poisoning the abdomen leading to death.
(According to Vietnam+)
