Surgery for a rare case of prepyloric gastric perforation in a pediatric patient

Tu Ky Medical Center has just successfully performed emergency surgery on a rare case of prepyloric gastric perforation in a pediatric patient.

Doctors at Tu Ky Medical Center performed emergency surgery on the patient.

On the afternoon of November 5, Specialist Doctor Nguyen Hong Thien, Head of the Department of Surgery - Anesthesia and Resuscitation, Tu Ky Medical Center, said that the center had just successfully performed emergency surgery on a rare case of prepyloric gastric perforation in a child patient.

The patient is NGH, 15 years old, living in Lac Phuong commune, Hai Phong city.
Room. Child H. was brought to Tu Ky Medical Center by a teacher at 5:13 p.m. on October 31, 2025, in a state of severe pain in the epigastric region, vomiting, then pain spreading throughout the abdomen. When admitted to the hospital, child H. was conscious, with pink mucous membranes, pain throughout the abdomen, severe pain in the epigastric region, stiff abdomen, and clear peritoneal sensation.

The patient was given tests, ultrasound, abdominal X-ray, and abdominal CT scan, which revealed a perforated hollow organ. The doctors held a consultation and explained to the patient and his family that the condition required emergency surgery.

The patient underwent laparoscopic surgery to suture the perforation in front of the pylorus, wash the abdomen, place an abdominal drain, and administer fluids and antibiotics. Currently, patient H. is conscious, with pink mucous membranes, no fever, dry surgical wound, and has eaten porridge and drunk milk. It is expected that patient H. can be discharged on November 6.

Monitor surgical wound for patients after surgery.

Doctor Nguyen Hong Thien recommends: This is a rare disease, but parents should not be subjective in thinking that their children do not have gastric ulcers. To prevent the disease, parents should not put pressure on their children, let them be optimistic, comfortable and avoid staying up late. Train children to have reasonable eating habits, not to be too hungry or too full. Children should eat many meals a day, at certain times, need to eat slowly, chew thoroughly to be good for digestion.

Limit fried, grilled, and salty foods, and avoid stimulants such as coffee, strong tea, and alcoholic beverages.

Do not eat too sour, do not drink too cold or too hot, should eat soft, easy to digest foods, do not take drugs of unknown ingredients and origin. When having symptoms of prolonged abdominal pain, you need to see a doctor early, diagnose and treat promptly.

DUC THANH

Source: https://baohaiphong.vn/phau-thuat-ca-benh-nhi-thung-da-day-mat-truoc-mon-vi-hiem-gap-525742.html