Ho Chi Minh City University of Medicine and Pharmacy received 34 -week pregnant women, pregnant ultrasound detected giant tumor in the abdomen of the fetus.Because the tumor is unclear nature and increases the size very quickly, threatens the life of the fetus.
The results of the fetal MRI scan noted: The large fingerprint structure must push the fetus to push the diaphragm must be high, pinching the bladder and the kidneys, pushing the small intestine straps to the left.Facing this situation, obstetricians have urgently invited inter -hospital consultants with the General Surgery Department, Children's Hospital 2.
After the inter -hospital consultation, doctors gave preliminary diagnosis.This is a fetal peritonitis due to an intestinal part that broke into the abdominal cavity, forming a fake mass, inside containing rubber and amniotic fluid.The unified doctors will carefully monitor pregnancy, if there is an abnormal transformation, they will have a cesarean section, immediately transferred babies to Children's Hospital 2 emergency surgery.
On the same day for consultation, pregnant women show signs of labor, fetal ultrasound recorded the abdominal fluid increased.The obstetrician decided to have an emergency cesarean section and immediately transferred the newborn to the Children's Hospital 2 as planned.
Due to knowing the fetal disease, the doctor of Children's Hospital 2 conducted a number of pre -surgical and surgical tests for children in the night.
BSCKI.Nguyen Hien, the Department of Surgery, said: Children with a disability of a small intestine, suspected necrosis of congenital clogging from the fetus.The remaining intestine of the baby escapes the rubber and amniotic fluid into the abdominal cavity, forming a large follicle that accounts for almost half of the right abdomen.
Dr. Hien said that this is a difficult surgery because babies weighing 2kg, intestinal adhesion, needing surgery quickly to avoid widespread infections, lower body heat.After 5 days of surgery, the baby gradually recovered, fed milk, the infection was stable.
According to Dr. Pham Ngoc Thach - Deputy Director of Children's Hospital 2, fetal peritonitis is mainly due to bowel obstruction or vascular damage to the small intestine.A few other causes may be due to intestinal twisting, intestinal hernia, congenital intestinal ligament, Meckel excess bag, Hirschsprung disease, cystic fibrosis.
Treatment of fetal peritonitis should have a close combination between obstetricians and pediatricians to bring the best results.Dr. Thach emphasized that the early diagnosis of the situation will help the obstetricians - the proactive pediatrician, have a proper and timely treatment plan for babies to avoid complications and reduce the risk of death.