On the afternoon of July 9, Hoan My Cuu Long Hospital said that the unit had just successfully performed emergency surgery for a 58-year-old man who suffered a ruptured small intestine after a closed abdominal injury due to a collision on the road, helping the patient overcome the critical stage.
According to the hospital, patient D. V. T (58 years old, Can Tho City) was brought to the hospital's Emergency Department about 30 minutes after a strong collision with a three-wheeled vehicle while traveling on the road. Although there were no obvious open wounds, the patient developed severe abdominal pain, increasing intensity.
At the time of admission, the patient was awake, with severe abdominal pain, resistant abdomen and signs of peritoneal irritation. Recognizing this as a case of closed abdominal trauma with a risk of internal organ damage inside the abdominal cavity, the Emergency Department team quickly deployed an emergency assessment procedure, performed a bedside ultrasound and prescribed a 256-slice MSCT scan to comprehensively assess the lesion.
The results showed that the patient had a torn enterocolite with ruptured small intestine, abdominal discharge and signs of internal bleeding. This is a dangerous emergency surgical condition because digestive fluids and blood can quickly cause peritonitis, severe infection, shock and life-threatening if not treated promptly.
Immediately, the Emergency Department activated an inter-specialized emergency consultation. After being explained the patient's condition, the patient was transferred straight to the operating room for emergency surgery.
Dr. CKI. Thach Som Anh - Emergency Department on duty handling emergency situations for patients said that closed abdominal trauma is a type of injury that is very easily overlooked because clear wounds may not appear on the outside. However, serious lesions may have occurred inside the abdominal cavity such as: ruptured intestine, crushed liver, crushed spleen or internal bleeding.
In the case of patient T, the surgical team took measures to control the damaged locations, stop bleeding, treat the torn pericardium and sew back the ruptured small intestine segment. After 2 hours of surgery, the lesions were thoroughly treated.
Through intensive treatment, the patient's health progressed well. Vital indicators were stable, digestive function recovered. The patient was closely monitored at the Department of Gastroenterology and discharged after 7 days of treatment.
BS.CKI. Tran Thanh Khiet - Head of the Emergency Department recommends that people should not be subjective about abdominal injuries after traffic accidents or strong impacts. When symptoms such as: increasing abdominal pain, abdominal distension, nausea, vomiting, sweating, heavy fatigue or dizziness appear, patients need to go to a specialized medical facility immediately for examination and timely treatment to avoid leading to dangerous complications.
