PNO – The patient was admitted to the hospital in a state of drowsiness, pale lips, pale skin, groaning breathing, rapid breathing, difficulty breathing, abdominal distention, redness of the abdominal wall, blood oxygen concentration below 85%.. .
On August 11, City Children’s Hospital. Can Tho said it had just saved the life of a newborn with a congenital stomach perforation. This is a rare case, the mortality rate is very high and if detected late, the mortality rate can reach more than 80% .
Previously, the hospital’s Emergency Department received baby boy TXE (5 days old, residing in Hau Giang province). The patient was diagnosed with intestinal infection and sepsis and was transferred from City General Hospital . Nga Bay ( Hau Giang province ).
Baby E. was born full-term by cesarean section, weighing 3.2kg.
The baby was admitted to the hospital in a state of drowsiness, pale lips, pale skin, whining breathing, rapid breathing, difficulty breathing, distended abdomen, red swollen abdominal wall, blood oxygen concentration below 85%… The baby was treated. emergency and transferred to the intensive care unit of the Neonatal Department.
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| Baby E. had a perforated stomach when admitted to the emergency room – Photo: Doctor Phuong Anh |
The patient was intubated and mechanically ventilated for respiratory support, anti-shock treatment, intravenous antibiotics, and intravenous nutrition. After a coordinated consultation between the Department of Neonatology, Shock Resuscitation combined with surgery and surgery, it was determined that this was a case of toxic septic shock based on surgical abdominal pathology with generalized peritonitis, the pediatric patient had surgery immediately afterward.
Dr. Vo Ngoc Lan – Department of General Surgery – said that during the baby’s emergency surgery, the team discovered that the baby’s stomach had ruptured from the fundus to the body, the entire front of the rupture was missing. muscle layer, only mucosal layer, stitching up a gastric rupture is very difficult.
The diagnosis after surgery was that baby E. would have peritonitis (thin membrane lining the inside of the abdominal wall and covering the abdominal organs) due to a ruptured stomach with necrosis up to 4cm.
6 days after surgery, the patient was extubated, weaned off the ventilator, and on the 7th day, he began to be fed gradually less milk. On the 12th day after surgery, the baby was transferred to his mother, breastfed and has now been discharged from the hospital after 20 days of treatment.
According to Dr. Vo Ngoc Lan, gastric perforation in newborns is a rare case with a very high mortality rate. If detected late, the mortality rate is more than 80%.
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