MScNT Nguyen Quoc Dat - Department of Digestive Surgery, Hospital E - said that the patient was admitted to the hospital with severe abdominal pain in the epigastric area, the pain gradually spread to the right iliac fossa area, the abdomen was distended, and the pain increased. Gradually, discomfort, nausea, fever...
Upon receiving the patient, the doctors quickly conducted a clinical examination and prescribed the patient for necessary tests and scans...
Through abdominal computed tomography results, images of free abdominal air (hollow viscus perforation), high rectal wall thickening, fluid collection and surrounding infiltration were found. The patient's prognosis is very severe, with a high risk of blood infection and death. Immediately, the doctors conducted an emergency consultation, determined that the patient had a perforated hollow organ and quickly prescribed surgery to suture the perforated hollow organ and perform abdominal irrigation.
Exploiting the medical history, the patient appeared to have pain a day before, the pain gradually increased... however, the patient thought it was due to work pressure and weather leading to normal stomach pain, so he did not go. examination. After that, the pain gradually increased, abdominal bloating appeared... for unknown reasons, my family took me to the emergency room at the Emergency Department - E Hospital.
The difficulty of this case is that the patient does not remember when he swallowed a foreign object, which makes it difficult for doctors to diagnose and treat the disease. Recently, the patient suddenly had abdominal pain, went to the doctor and was prescribed emergency surgery and was surprised to discover that a foreign object, a toothpick approximately 7cm long, had punctured his rectum. , causing gastrointestinal peritonitis.
The next difficulty of the case is that the foreign object travels almost the entire digestive tract, from the throat, esophagus, stomach, small intestine and punctures the colon, causing digestive fluid to flow into the abdomen, causing a condition. peritonitis, which can lead to sepsis and even be life-threatening.
Master of Medicine Nguyen Quoc Dat said that fortunately for this patient, thanks to coming to the hospital early and receiving timely emergency surgery, it did not lead to serious complications.
