Doctors of the General Surgery Department, Central Endocrinology Hospital, have just successfully performed emergency surgery for a 42-year-old male patient with total peritonitis due to a ruptured stomach ulcer on the background of type 2 diabetes. Notably, the lesions in surgery have very suspicious images of stomach cancer.
According to BS.CKII Pham Ba Tuan (National Hospital of Endocrinology), the patient was admitted to the hospital in a state of severe abdominal pain, abdominal stiffness, and severe infection. The examination and diagnosis determined total peritonitis due to perforated hollow organs - a dangerous surgical complication requiring emergency surgery.
During the surgery, the team discovered a hole nearly 2.5 cm in the small curvature of the stomach, the edge of the ulcer is hard, jagged, very suspicious of cancer. Due to the complex lesions and large size, the doctors decided to switch from endoscopy to open surgery to treat thoroughly, limiting the risk of complications.
The special feature of the surgery is the application of cryopreserving surgical techniques right in the operating room. Immediate biopsy results did not detect cancer cells, helping the team avoid unnecessary stomach removal for the patient. After that, the patient was sewn through the puncture, covered with a large connective membrane, washed the abdominal cavity and placed a drain to control infection.
Currently, the patient is being resuscitated, controlling infection and blood sugar after surgery. Health is stable, and recovery progress is favorable.
Doctors recommend that people should not be subjective about stomach and duodenal ulcers. When signs such as sudden severe abdominal pain, abdominal stiffness, fever, frequent vomiting or constipation appear, it is necessary to go to a medical facility immediately for examination and timely treatment, to avoid dangerous complications that threaten life.
