Elephant News reporter Zhu Leigang
76-year-old Aunt Ma has not had a normal meal for a month because of intermittent abdominal pain, bloating, and inability to pass stool. The family took Aunt Ma to a local hospital for medical treatment and was diagnosed with intestinal obstruction.
However, after 1 month of conservative treatment, there was no improvement. Instead, blood in the stool appeared again, and it seemed to be getting worse. Afterwards, Aunt Ma’s family came to the General Surgery Department of Zhengdong District, Zhengzhou People’s Hospital through a friend’s recommendation. After diagnosis and treatment, it was found that it was caused by “intussusception”. After ileocecal resection, Aunt Ma recovered well and finally got a meal.
Rare! “The ileum is inserted into the ileum and then inserted into the ascending colon”
In Zhengdong District, Zhengzhou People’s Hospital, Xia Yunzhan, deputy director of general surgery, perfected various examinations for Aunt Ma, and passed the physical examination. It was found that a mass could be felt in her right abdomen, and a CT examination was arranged for her. It was found that the mass was caused by “intussusception”, and surgery was required for thorough treatment.
So, what is “intussusception”?
Deputy Director Xia Yunzhan explained that intussusception refers to the intestinal obstruction caused when part of the intestinal tube and its mesentery are invaginated into another segment of the intestinal lumen connected to it and cause intestinal contents to pass through obstacles. . This disease is more common in children.
Intussusception in adults is generally associated with intestinal polyps and tumors. The most common intussusception is that the end of the ileum is inserted into the ascending colon, but Aunt Ma’s intussusception is that the ileum is inserted into the ileum and then inserted into the ascending colon, which is relatively rare and increases the difficulty of the operation.
Aunt Ma has not eaten for a month, her body has become very weak, and there is an electrolyte imbalance.
If the surgery is not performed in time, Aunt Ma may be in danger at any time.
() Adults with blood in the stool, abdominal pain or abdominal mass, should seek medical attention in time
After a series of preoperative preparations, Deputy Director Xia Yunzhan led the team to perform surgical treatment for Aunt Ma as quickly as possible.
During the operation, Director Xia discovered that she was caused by a large polyp of the small intestine. The small intestine was invaginated into the small intestine and into the ascending colon together, and the intussusception of the intestinal tube had been incarcerated and necrotic.
Deputy Director Xia Yunzhan performed ileocecal resection for the patient with his skillful technique. Three days after the operation, Aunt Ma recovered well. Aunt Ma, who had been hungry for more than a month, finally ate a meal. Her whole body became more comfortable and her spirits improved!
The general symptoms of intussusception are abdominal pain, blood in the stool, and abdominal mass. As the disease progresses, intestinal obstruction symptoms such as abdominal distension and vomiting may appear.
The best way to treat intussusception, children can use air enema under X-ray or water pressure enema under color Doppler ultrasound. Intussusception in adults is generally caused by tumors or polyps, and requires surgical treatment. If the treatment is not timely, it may lead to intestinal obstruction, intestinal necrosis and even septic shock, resulting in death.
Deputy Chief Physician Xia Yunzhan pointed out that intussusception is more common in children. When adults, especially the elderly, have blood in the stool, abdominal pain or palpable abdominal mass, they should seek medical attention in time to rule out intussusception or other symptoms. neoplastic lesions.
Name card of famous doctor:
Xia Yunzhan
Zhengzhou People’s Hospital Zhengdong District, deputy director of general surgery, deputy chief physician, thyroid and parathyroid gland of Henan Medical Association Member of the disease professional committee. Good at diagnosis and treatment of abdominal wall hernia, thyroid disease, acute abdomen, acute pancreatitis, cholelithiasis, gastrointestinal tumors and other diseases in general surgery; good at laparoscopic inguinal hernia repair, laparoscopic cholecystectomy, gallstone preservation, laparoscopic Lower gastrointestinal perforation repair, laparoscopic gastrointestinal tumor treatment; laparoscopic radical thyroidectomy; radiofrequency ablation of benign thyroid tumors and other minimally invasive surgeries. He is especially good at laparoscopic abdominal wall hernia repair technology, treatment of various huge, complex and difficult abdominal wall hernias, and day surgery such as inguinal hernia under local anesthesia.
(Photo courtesy of Zhengzhou People’s Hospital)