Timely emergency care for a newborn with rare intestinal torsion

Phương Linh |

Khanh Hoa - Doctors at Khanh Hoa General Hospital have just successfully resuscitated a rare surgical case in a newborn.

Information from Khanh Hoa General Hospital said that the hospital's doctors and nurses have just saved a newborn baby with intestinal torsion.

This is a rare surgical emergency that can be life-threatening or leave serious sequelae. Thanks to the decisive detection and treatment of the doctors, the patient was given timely emergency treatment without having to have his intestine removed.

Accordingly, the patient was admitted to the hospital in a state of vomiting moss green discharge and red bloody stools 24 hours after birth. Before that, the child still had normal bowel movements, so the initial signs are easily confused with normal digestive disorders.

On the same night, doctors activated the inter-specialized consultation process. The results showed signs of suspected intestinal torsion, requiring emergency surgery.

The key point of the case is the close coordination between clinical and diagnostic imaging. On ultrasound, doctors discovered the "Whirlpool" sign - a characteristic image when the intestines and blood vessels are twisted around the axis, hindering blood circulation.

During the surgery, the entire small intestine of the patient was twisted twice and began to turn purple due to anemia.

After timely removal of torsion, the intestinal ducts gradually recovered and turned pink again. The team continued to perform Ladd surgery to rearrange the intestinal position and limit the risk of recurrence.

After 4 days of intensive treatment, the patient's condition has clearly improved and he has started to breastfeed.

According to doctors, vomiting green fluid in infants is a typical sign of intestinal obstruction and needs emergency treatment. If detected late, the intestine may become necrotic, forcing removal, seriously affecting the child's ability to absorb nutrients and long-term development.

From the reality of treatment, doctors recommend that medical staff should be especially wary of symptoms that are easily "tricked" such as vomiting and digestive disorders.

Proactive ultrasound, finding characteristic signs and early intervention play a decisive role in saving and preserving organs for pediatric patients.

For parents, when newborns have symptoms of vomiting green discharge, refusing to breastfeed, bloating or bloody stools, they need to be taken to a medical facility immediately, avoiding subjectivity that slows down the "golden time" of treatment.

According to statistics in the past 5 years, the hospital recorded 4 cases of intestinal torsion due to incomplete intestinal rotation, of which most were detected early and successfully preserved.

Phương Linh
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