Doctors at Paras Bliss Hospital Panchkula saved the life of a 1 yr old baby by successfully diagnosing and treating a serious medical emergency involving obstruction of the intestine. Dr (Prof) KLN Rao, Director Pediatric Surgery and former Dean and professor at PGI Chandigarh, performed a complex emergency surgery to provide relief to the ailing 1 yr old baby boy.
Mr Rajesh and Mrs Sarita (names changed for anonymity), residents to Barnala reached the hospital with their ailing baby in the middle of the night. The baby was complaining of severe tummy ache and vomiting for about 12 hours and he was also passing blood in the stools. Scared about the health of their child they immediately decided to get the baby to Paras Bliss Hospital – a super specialised pediatric and child care centre in Panchkula.
During investigation the child was severely irritable, dehydrated with high heart rate and the Dr KLN Rao could feel severe swelling in the tummy. Diagnosing the condition with the help of an X ray, Dr Rao highlighted that the condition was Intussusception. He immediately discussed the condition with the parents that an emergency surgery would be needed.
According to Dr KLN Rao, Director Pediatric Surgery, Paras Bliss Hospital Panchkula, “Intussusception is the most common cause of intestinal obstruction in children younger than 3. The cause of most cases of intussusception in children is unknown. Though rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor. Intussusception is a serious condition in which part of the intestine slides into an adjacent part of the intestine. This “telescoping” often blocks food or fluid from passing through. Intussusception also cuts off the blood supply to the part of the intestine that’s affected, which can lead to a tear in the bowel (perforation), infection and death of bowel tissue.”
Dr Rao further states, “The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by abdominal pain. Infants who have abdominal pain may pull their knees to their chests when they cry. The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. These painful episodes last longer and happen more often as time passes. Other frequent signs and symptoms of intussusception include: stool mixed with blood and mucus (sometimes referred to as “currant jelly” stool because of its appearance), vomiting, a lump in the abdomen, lethargy, diarrhea, fever. Not everyone has all of the symptoms. Some infants have no obvious pain, and some children don’t pass blood or have a lump in the abdomen. Some older children have pain but no other symptoms.”
Dr Rao states that early detection and timely treatment is necessary in this situation. Intussusception can cut off the blood supply to the affected portion of the intestine. If left untreated, lack of blood causes tissue of the intestinal wall to die. Tissue death can lead to a tear (perforation) in the intestinal wall, which can cause an infection of the lining of the abdominal cavity (peritonitis). Peritonitis is a life-threatening condition that requires immediate medical attention.
The 1 yr old baby boy was in surgery for more than 4 hours. Post operatively the baby made uneventful recovery and started the feed on the next day and was discharged home on the third post operative day. He was seen in follow up a month later and was recovering very well.
Mr Rajesh, father of the 1 yr old baby boy shares, “Dr Rao has saved our baby boy! When he shared that our baby will have to go through surgery, we got really scared, but Dr Rao gave us confidence. We understood that with Dr Rao we have the best shot at saving our baby’s life. We shall forever be indebted to him. We would urge all the parents to seek consultation and help from super specialists only so that in the first instance only your baby gets the best care.”
Dr. KLN Rao is a former Professor & Head, Department of Pediatric Surgery, PGIMER, Chandigarh (tenure 20 years). He has 40 years of clinical, teaching and research experience in Pediatric Surgery / Pediatric Urology and had set up the Department of Pediatric Surgery at Advanced Pediatrics Center at PGI, which serves as a tertiary child care center for the entire North India.
Dr. Rao has performed more than 300 pediatric surgeries for portal hypertension (blood vomiting) and 1,050 surgeries for hydronephrosis (kidney swelling), the highest in the world by any surgeon. He is a pioneer in Pediatric Surgery, who has performed more than 800 surgeries of children with urinary tract infection and 550 cases of the posterial urethral valve. He has received three prestigious Oration Awards and seven Awards / Gold Medals from the Indian Association of Pediatric Surgeons.