Suffering from myositis ossificans associated with pyloric stenosis and pneumonia since childhood, a 19-year-old female patient is severely exhausted weighing only 18 kg.

19/07/2021 07:31

After more than 1 month of treatment for pyloric stenosis due to ulceration, pyloric hypertrophy; pneumonia on a history of myositis ossificans (MO) at Viet Duc University Hospital (VDUH), on June 25^th, N.P.U, 19 years old, returned home in Bac Giang, joyfully reuniting with her family.

 

 

Mr. N.V.K, the patient’ s father said: My daughter has diagnosed MO since  she was 3 years old. It was a long journey to treat her disease. She had been treated for many years at provincial hospital and hospitals in Hanoi, at times there seemed to be no hope. After that, she was transferred to VDUH and had stayed here since May, 2021.

 

Dr. Vu Nguyen Ha Ngan – Center of Anesthesia and Surgical Intensive Care, VDUH, said: 1 month before admission, the patient has manifested an epigastric pain accompanied by vomiting a lot of blueish black fluid, her weight dropped from 33 kg to 18 kg. Patient was admitted to the hospital in a state of exhaustion, BMI 8.8; Weight: 18kg. On May 24^th, surgeons performed gastroejunostomy laparoscopically to restore the patient’s natural digestion.

 

Additionally due to pyloric stenosis, the patient was always in malnutrition condition, MO and pneumonia, making the recovery and wound healing process difficult. A 64 slide CT scan showed a dilated stomach containing many blood clots, pyloric stenosis and pyloric hypertrophy, there was an active bleeding into stomach and jejunum. It also showed consolidation in the lower lobe of the left lung and ground glass opacities in the lower lobe of the right lung; edema and calcification of the wall of the thorax, abdomen and pelvis. Immediately after that, the patient was indicated for DSA intervention. Post-embolization CT scan showed that the damaged branch completely stopped bleeding, the remaining vascular branches were preserved.

 

 

Due to severe exhaustion and pneumonia, N.P.U was transferred to the Intensive Care Unit 1, Center of Anesthesia and Surgical Intensive Care, VDUH. Here, doctors have actively resuscitated, treated her for pneumonia, nourished, improved her health, and restored functions for her body for 1 month. If the patient had not been cared intensively, she would be at risk of severe infection, wound dehiscence, delayed wound healing leading to severe exhaustion, septic shock … even death. The patient’s health status improved, she could eat well and weight increased from 18 kg to 22 kg.

 

 

On June 25^th, N.P.U was discharged from the hospital and returned home, continuing to improve her condition and rehabilitation practice. On the day of discharge, N.P.U did not forget to thank the doctors and nurses of VDUH for their devote, care and attachment.