My intestines are actually "tied"... Countdown to the high school entrance examination! A boy in the third grade of junior high school suffered from sudden abdominal pain after physical education class
The college entrance examination has started, countdown to the high school entrance examination! However, during the most critical preparation period for many students, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine received a case of a student preparing for the high school entrance examination who suffered from sudden intestinal volvulus after exercise. The Department of Pediatric Gastroenterology and General Surgery jointly diagnosed and treated a micro- We created a plan to solve the problem of high school entrance examination students in a timely manner and avoid the big problem of "ostomy".
Experts remind students preparing for the exam that during the most critical season of the middle school and college entrance examinations, students preparing for the exam must live a regular life, eat scientifically and exercise scientifically, and avoid strenuous exercise after a heavy meal to avoid sudden illness and affect their preparation for the exam.
16-year-old Xiao Wu is a junior high school student and is about to take the high school entrance examination. One afternoon after physical education class, Xiao Wu suddenly felt unbearable distension and pain in his lower abdomen, as if he was trying to pass gas but couldn't. This made Xiao Wu's parents anxious. After school, they immediately took Xiao Wu to a hospital near his home. I went to see a doctor and was told by the doctor that I had an "intestinal obstruction" and was advised to go to a higher-level hospital for treatment.
The family rushed to a hospital near their home, but was told that it could not be treated and was advised to go to a pediatric hospital. Xiao Wu's parents felt that it was too hard to carry Xiao Wu around, so they went home to settle down for one night. Unexpectedly, Xiao Wu's abdominal pain not only did not relieve the next day, but the bloating became more and more severe, making it impossible to eat normally.
As his condition worsened, Xiao Wu and his family went to Shanghai Xinhua Hospital for treatment. The emergency doctor from the Pediatric Surgery Department of Xinhua Hospital performed a barium enema on Xiao Wu and determined the cause of the intestinal obstruction - B-colon volvulus.
Pan Weihua, chief physician of pediatric general surgery, said that sigmoid colon volvulus is generally caused by a long sigmoid colon. Some special reasons, such as strenuous exercise, cause rotation and obstruction of the sigmoid colon. If not treated in time, it may cause colon necrosis, leading to serious consequences.
The intestines are "knotted", the diagnosis and cause have been clear, and the next treatment has become the focus of discussion. In pediatrics, cases of B colon volvulus are uncommon, and for Xiao Wu, who is about to take the high school entrance examination, recovery time is more important. Therefore, it is very urgent to choose a treatment method that does not affect subsequent examinations. Under the organization of Professor Cai Wei of the Department of Pediatric Surgery, Pan Weihua and Wang Ying, director of the Department of Pediatric Gastroenterology and Nutrition, discussed together and decided to use minimally invasive or non-invasive methods to help reverse the intestinal tract and reset it as soon as possible.
The experts communicated the treatment plan in detail with the family members: use colonoscopy to try to reset the intestines first. If the colonoscopy fails to reset or the intestines become necrotic, surgery will be performed directly.
The colonoscopy was performed under general anesthesia. Wang Ying successfully found the torsion site under the colonoscope. Through repeated pulse flushing and attempts to flip the colonoscope, she finally successfully relieved the sigmoid volvulus. With the help of the colonoscope, she confirmed There was no severe ischemic necrosis in the torsion of the intestine, and the dilated intestine was decompressed, successfully resolving Xiao Wu's condition.
24 hours after the colonoscopy, Xiao Wu could eat normally and get out of bed. X-rays also showed that the intestines were flowing antegrade and unobstructed. Three days later, Xiao Wu was discharged from the hospital successfully and returned to his life of preparing for exams.
"With the development of endoscopic technology, patients who seek medical treatment in a timely manner and have not yet developed colon ischemic necrosis can try colonoscopic volvulus reduction. Through colonoscopic reduction, most patients will undergo colonoscopic reduction during colonoscopy. That is to say, the abdominal distension will be significantly improved, the pain will be relieved, and emergency surgery will be avoided. However, if the colon has already developed ischemic necrosis, surgery will require resetting the torsion of the intestine and resecting the perforated or necrotic intestinal segment. Most patients will need surgery after surgery. "Temporary fistula." Wang Ying explained that B-colon volvulus is uncommon in children. Once it occurs, it can easily lead to serious consequences such as intestinal necrosis and intestinal perforation. B-colon volvulus is actually a complication of B-colon stenosis, and ultimately Surgery may still be needed to solve the problem of a long B colon and prevent it from happening again, but elective surgery generally does not require an enterostomy and recovery is much faster.
Wang Ying said that strenuous exercise or heavy physical labor after a heavy meal are common causes of volvulus in teenagers. Therefore, when the high school entrance examination is about to take place, students must not rush to exercise after meals. In addition to strenuous exercise after a meal, heavy physical labor, overeating, habitual constipation, intestinal roundworms and other intestinal diseases may cause intestinal volvulus. Therefore, in the process of preparing for the exam, you must eat regularly, have balanced nutrition, and exercise reasonably and appropriately.
