On July 5, Danang Hospital announced that the hospital's doctors had just successfully performed a 45-minute surgery. The fetus was born weighing 2.7kg, rosy and crying loudly. The mother's appendix, which was inflamed and had many pseudomembranes around it, was promptly removed, and there were no complications of infection after surgery. Currently, the health of both mother and child is stable.
Previously, on June 28, pregnant woman NLT (30 years old, living in Da Nang city) had a dull pain in the epigastric region, so her family took her to the Emergency Department of Hoan My Da Nang Hospital for examination.
At the time of admission, the pregnant woman T was 37 weeks pregnant. The results of clinical examination, abdominal ultrasound, and blood tests did not reveal the cause of the pain. The doctors decided to hold an interdisciplinary consultation to find the exact cause.
After consideration, the doctors decided to choose magnetic resonance imaging (MRI) - a diagnostic technique that does not affect the health of the mother and fetus to accurately determine the disease.
MRI results showed that the pregnant woman had acute appendicitis, fluid-filled intestine, edema, and surrounding infiltration.
At the time of emergency, while monitoring the condition of appendicitis, the fetal heart chart simultaneously recorded signs of premature labor: 2 uterine contractions/10 minutes of strong intensity. Internal examination showed the cervix dilated 1cm.
Faced with the risk of appendicitis and pus rupture that could occur at any time, it could endanger the lives of both the pregnant woman and the fetus. After an interdisciplinary consultation, the doctors decided to perform a cesarean section first, then proceed to remove the appendix.
Two surgical teams were deployed simultaneously. After 45 minutes, the surgery was performed safely. Doctor Ho Thuyen, Department of Obstetrics and Gynecology, representing the surgical team, shared: The purulent appendix was located in a complicated position in a pregnant woman with signs of premature labor, 37 weeks pregnant with a weight reaching the threshold.
Considering the benefits for the mother and fetus, the team decided to perform a cesarean section and treat the appendix in one surgery. The pregnant woman was quite lucky that the inflamed appendix was discovered at the time of pus but had not yet ruptured. If the appendix ruptured, pus would spill into the abdominal cavity, greatly increasing the risk of infection for the mother and baby, possibly causing sepsis.
According to doctors, appendicitis in pregnant women is quite rare, with a rate of 1/2000. Depending on the time, the doctor will consider the optimal treatment method for the mother and fetus.
Due to anatomical changes during pregnancy, signs of appendicitis are often faint and are likely to be obscured by common signs of the postpartum period. Patients are easily subjective, leading to many dangerous complications such as peritonitis, appendiceal abscess...
Source: https://nhandan.vn/phau-thuat-khan-cap-cuu-san-phu-viem-ruot-thua-cap-va-thai-nhi-post891842.html
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