Boy with bowel necrosis due to inguinal hernia

Phu-ThoA 2-year-old boy with high fever, inability to defecate, vomiting, and fatigue was taken to Hung Vuong General Hospital for emergency treatment.

The family said that the baby appeared a bulge in the left inguinal region, felt painful to touch, thought it was a simple lymph node, so they did not take the baby to the hospital immediately. The next day, the baby was sick, feverish, tired, didn’t eat. The doctor diagnosed the baby with a strangulated inguinal hernia on the left side, and indicated surgery.

Doctor Dang Thanh Hai, Director of Hung Vuong General Hospital, said on February 20 that when he was hospitalized, the small intestine was necrotic. The state of strangulated inguinal hernia with intestinal necrosis can lead to toxic shock, which is life-threatening if not promptly operated on. Currently, the baby’s health is stable and is being cared for at the General Surgery Department of Hung Vuong General Hospital.

Inguinal hernia in children is a congenital pathology that does not go away on its own. Inguinal hernia needs to be diagnosed and treated quickly, because in about 6-12 hours, the internal organs (intestine, omentum, ovary, fallopian tube) will become strangulated, causing peritonitis, intestinal obstruction. toxic infection, can threaten the life of the patient and the risk of having to remove the necrotic part such as the intestine, omentum, ovary, uterus… In some cases, testicular damage can be caused by blood vessels. testicles are compressed.

An inguinal hernia presents as a bulge in the inguinal scrotum in boys and in the proximal labia in girls. This bulge is usually larger when the baby cries, pushes to defecate or does vigorous exercise such as running, jumping or exercising. When the child is resting or lying down, the hernia can re-enter the abdomen on its own, then the baby will look normal. Most of the babies were admitted to the hospital with irritability, crying and pain (older children) and aborting and vomiting (younger children).

To identify a child with an inguinal hernia, parents should notice that the child’s groin area has a hard, painful bulge, and the child may not allow it to be touched. Therefore, when detecting an abnormal bulge in the groin and scrotum, the child should immediately be taken to the hospital for examination for timely treatment.

Thuy Anh


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