Initially, M.(8 years old, Ho Chi Minh City) was hospitalized with symptoms of abdominal pain and was diagnosed with intestinal infection.The ultrasound results at that time did not detect the cage, so the doctor prescribed medicine to instruct the family to monitor it at home.
After three days, M.'s condition quickly worsened.The child vomited, had a high fever, diarrhea, and had a bowel movements to blood in his mucus.The family rushed to take the child to the hospital for emergency care.At this time, the baby was in a coma, unable to open his eyes, and his pulse increased to 160 times/minute (120-140 times/minute higher than normal in infants).The ultrasound at this time detected a 40mm cage.MSc.
Dr. Lam Thien Kim - Pediatric Surgery, Tam Anh General Hospital, Ho Chi Minh City said: "The child showed signs of diarrhea in the blood, showing that the disease had progressed severely.If not treated promptly, it will cause infection and poisoning, leading to death.
Treatment is usually removal of cages.However, this is not indicated when children have an infection of the abdomen or have other problems.The child was dehydrated a lot and had poor vital signs, so he could not have surgery immediately.
Doctors performed intensive care, fluid-reducing fluids, and electrolyte compensation for the baby.After about 1 hour, the child burst into tears, showing signs of waking up.The baby was immediately transferred to the operating room to pump the air out of the cage.
The child was placed with a stomach - rectal Tube, anesthetized and inhaled by a machine to push the cage to drain down.After that, the doctor took a C-arm at the operating room to check, the results showed that the cage had been removed.The baby was transferred to the resuscitation room to continue fluid and electrolytes, and was supplemented with antibiotics, respiratory support and active monitoring.
At 11pm the same day, the child was conscious and had an ultrasound in bed.Doctors breathed a sigh of relief when the baby was past the critical stage, but still needed to be monitored for another 48 hours because the cage could recur.After 2 days, the baby was taken out of the endotracheal tube and transferred to the Department of Pediatrics for further monitoring.
A intestinal discharge is a condition in which a section of the intestines slide into the inside of the adjacent and interspersed intestines.This phenomenon often appears in the small intestine and occurs commonly in children aged 13-24 months.
Statistics show that in Vietnam, for every 100,000 children under 1 year old, about 300 children will be caged.
The disease often starts after children have a respiratory or digestive infection, or due to congenital abnormalities in the intestines, immune system failure, cystitis, cancer...
Symptoms of the disease are divided into three stages.In the early stages, children often have stomach pain, breastfeeding, discomfort, vomiting, sweating, purple purple skin...
In the more severe stage, there will be brown stools, mucus or fresh blood with dehydration, fatigue, rapid heartbeat...If not given timely emergency care, it will move to the late stage with dangerous complications such as peritoneal inflammation, intestinal perforation, short-term bowel syndrome, internal bleeding, and even death.
If children are given emergency care 48 hours in advance, the risk of cage necrosis will be reduced, if later after 72 hours, the rate of intestinal necrosis will be about 80%.
