On December 29, Quang Tri Provincial General Hospital confirmed that the unit had just successfully operated on and treated a rare case.
Previously, on December 15, Ms. D.T.M.T (37 years old, residing in Con Tien commune, Quang Tri province) who was 41 weeks pregnant was admitted to the Obstetrics Department of Quang Tri Provincial General Hospital to give birth. The pregnancy was monitored in a state of fetal malnutrition, suspected duodenal obstruction.
After giving birth, the baby girl weighed 2,100g, was awake but quickly developed a lot of vomiting, dehydration, and electrolyte disorders. Examination and X-ray results showed that the child had duodenal obstruction, risk of shock with reduced volume, accompanied by fetal malnutrition.
The hospital immediately activated an inter-hospital consultation with the participation of the Department of Pediatrics and the Department of General Surgery under the direction of Dr. Truong Vinh Quy, Deputy Director of the hospital. The treatment protocol was agreed upon to be intensive treatment, fasting, intravenous culture, fluid replenishment, antibiotic use; and at the same time postponed emergency surgery until the child stabilized.
After a day of intensive treatment, the patient was put into surgery. In more than an hour of surgery, the team determined the cause of duodenal obstruction due to ring-shaped pancreas - a rare congenital defect, with a rate of about 5–15/100,000 live children. Doctors proceeded to open the upper and lower duodenum in a narrow position, performed Webb experimentation with 10% diluted ACC solution showing good circulation, then connected the side–side duodenum using the Kimura method.
After surgery, the patient was actively resuscitated and fed through peripheral central intravenous intubation (PICC). Eight days after surgery, the child stabilized, started breastfeeding, was cared for Kangaroo; the surgical wound was dry, with feces and progressed well. After 15 days of treatment, the patient was eligible for postpartum monitoring.
According to Dr. Truong Vinh Quy, this is a difficult case with high risk due to a child being fully fledged but fetal malnutrition and duodenal obstruction. Nutrient deficiency causes weakened immune systems, incomplete organs, combined with acute digestive blockage can increase the risk of infant death, respiratory failure, severe infection and long-term sequelae. Therefore, close coordination between the Department of Pediatrics and the Department of General Surgery is a decisive factor in helping to intervene promptly, save children's lives and minimize sequelae.
