Necrosis of one meter of intestine after 2 days of not being able to defecate
A 52-year-old woman (Ha Giang) had a stomachache and could not defecate. The doctor examined her and discovered that her intestines were necrotic.
The patient was brought to Hung Vuong General Hospital (Phu Tho) with dull abdominal pain around the navel, intermittent pain, abdominal distension, and no bowel movements for the past two days. Upon admission, the patient vomited and had increased abdominal pain.
Abdominal CT scan results showed dilated small intestine, collapsed colon, and a lot of free fluid in the abdomen, with the thickest part measuring 38 mm. The patient wasDiagnosed with intestinal obstruction, requiring emergency surgery.
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The patient is receiving intensive care after surgery. Photo: LQ |
Doctor Dang Thanh Hai said that surgery is the best option for this case, but the patient faces the risk of anaphylaxis, septic shock, and high blood loss.The patient could die on the operating table at any time if not carefully prepared for surgery.
After opening the abdomen, the doctor discovered that the patient's entire abdomen was full of secretions. The jejunal loops were dilated, about a meter from the last jejunum to the cecum was purple-black, necrotic due to a ligament that went from the cecum to the pelvis, causing complete intestinal obstruction. This ligament was the main cause of the patient's intestinal obstruction and necrosis.
Doctors cut the necrotic jejunum causing the intestine to collapse, connected the jejunum to the cecum, and sutured the mesentery. After surgery, the patientn awake and able to talk.
Doctors recommend that patients with signs of abdominal pain, no bowel movements, dull pain that sometimes occurs in attacks around the navel should go to the hospital for accurate diagnosis and timely treatment. If the intestinal obstruction persists, it will lead to intestinal rupture, septic shock, and be life-threatening.
Le Quyen
