‘Timan’s ruptured appendix with complications (emergency operation, surgery 2)
Continuation from ‘Timan’s ruptured appendix with complications (surgery 1)
8th of March:
My little son has spent the night moving from one side to the other, but otherwise without incident. In the morning he wanted instant noodles again (for breakfast), and the sick ones are allowed to eat what they feel like whenever possible, aren’t they? He was drinking but he still did not wet his diapers. I told the nurse. They also took his drain out and in the bag was not much liquid. The male nurse on duty kept asking me about the state of his diapers and I kept telling him every hour or so. Still nothing around lunchtime and I was badly worried at this time and kept asking for the surgeon.
‘Timan’ has been drinking more than 1/2 liter but did not pass any urine since 5pm the day before. What goes in has to come out or something is badly wrong. The male nurse called the surgeon but the doctor played down the problem, 1/2 liter was not much liquid. Maybe not for an adult but for a toddler it’s a lot especially when no urine is being passed for a period of over 18 hr.
The nurse kept insisting ‘but doctor, doctor, listen …’ for several minutes until the surgeon ordered some tests to evaluate what was wrong. Looking back he probably saved ‘Timan’s live with this persistence. The urologist was called and an ultra sound performed. There was the full bladder visible and something more, but very diffuse. We rushed back to the ward, ‘Timan’ was given a sedative to put him to sleep, no reaction, double dose, no reaction. We went for the CT scan nevertheless and I managed to calm him down so it could be performed.
And back to the ward to put a catheter. When the surgeon tried to extract the urine by first squirting some saline liquid into the bladder, he felt a strong resistance, but suddenly it passed inside. Then he extracted 230 ml brown urine. Back for another ultrasound and I was told the final diagnose: ‘Timan’ was suspected to have a collection in his abdominal cavity.
The emergency surgery was scheduled to start immediately and lasted for more than 2 1/2 hours. 150 ml collection of liquid from his appendix wound on the colon was removed and the whole abdominal cavity was cleaned out. A difficult, dangerous and live threatening surgery for everyone, even more for a Toddler.
After the operation I inquired for the reason for it. Apparently a blood clot had blocked the drain of his ruptured appendix surgery and prevented the liquid to drain from the wound inside his abdomen. This collection became more and more and an inflammation developed inside his stomach cavity.
My little one was transferred to the Intensive Care Unit. He was more or less stable.
I’m not able to tell you the things going through my head during the operation and the first hours in ICU. But the only chance we have had, was putting our trust in the operating team that was trying to safe ‘Timan’s life.
9th of March:
The artificial respiratory unit was removed the morning after the operation but he stayed in ICU for another day.
10th of March/11th of March
Back in the pediatric ward ‘Timan’ was given the ’emergency room’, a room where he was able to stay on his own and under close supervision.
He was taken off the machines and the drain from the wound was removed. And there was a blood clot inside, about 6 inch long. I was terrified when I saw this. The same complication could have easily happened again.
‘Timan’ got better and better from day-to-day. I think he recovered faster because we were able to move into one of the single rooms. And finally he was discharged from hospital on the 16th of March.
I hope this is not going to stay in his memory forever, maybe only the things we will tell him when he’s asking about his scars. And they are large for the size of his little body, a horizontal scar of 2 1/2 inch and a vertical scar of 4 inch starting 1 inch slightly towards the right above his belly button, running down towards his groin.
But what the hospital personnel did not tell me and I found out later was if this condition was not caught in time our little son would have died.
And I keep asking myself, are we talking here about a doctors error or negligence? Or is this just one of these complications that can happen after a difficult operation?
During the last couple of days I was finally able to search online and found horrible descriptions of complications occurred after a ruptured appendix surgery.
In the end I think we were most lucky still having our little son with us. He’s a tough little guy but somebody was watching over him.
Another thing I learned from this: Do trust your own gut feelings as a mother/father more than ever even when people try to appease.
Life goes on. This time my son is going to be all right. I know so.
Posted on April 2, 2011, in 'Timan', Complication, Doctor, Hospital, Sick, Surgery, Toddler and tagged belly, fever, inflammation in stomach cavity, medicine, stomach pain. Bookmark the permalink. 8 Comments.