The Department of Surgery at Vinmec Times City International General Hospital successfully performed surgery to remove a 33-year-old Philippines woman's large ovarian tumor, which weighed more than 7 kg. She was forced to be hospitalized due to the enormous tumor's pressing and twisting effects.
A normal job was being done by Ms. N, she was transported to the emergency room at Vinmec Times City General Hospital after experiencing sudden, acute lower abdominal pain. A significant tumor was discovered in the abdomen during an ultrasound. The tumor was up to 20 cm x 25 cm in size and pressing on the abdominal organs, according to the results of the CT scan. Doctors performed surgery on the patient because they believed it was a dermoid cyst. According to the results of the biopsy, the dermoid cyst on the left ovary was filled with a lot of black fluid and hair.
Because the patient was still young (33 years old), the tumor was excised while trying to keep as much of the ovary as feasible. Ms. N. has a history of obesity, an IBM index of 38 (the normal range is 18 to 25), and low resistance, which increases the risk of problems before and after surgery (such as respiratory complications, cardiovascular, postoperative bleeding, wound adhesion, and wound infection). Due to the possibility of significant bleeding, it is challenging to preserve the ovaries when the tumor is this big. Before removing the remaining tumor, which weighed roughly 3 kg and had a diameter of 25 cm, doctors sucked 4 liters of fluid to lessen its size. The patient's bleeding was carefully halted during surgery, and health signs were thoroughly watched afterward. The patient was able to sit up by himself after the first two days following surgery, practice walking, and the wound was dry. Last June 2, following a five-day operation, Ms. She was allowed to leave the hospital because she had no discomfort, no fever, no bleeding, and normal digestion.
Doctor Ho Huu An - Department of Surgery, Vinmec Times City General Hospital said: "This is one of the largest cases of cysts operated at the hospital".
Ms. N. was likewise astounded to discover that she had such a sizable tumor. She said that she had never undergone an abdominal ultrasound or a physical before. In addition, Ms. N. was very heavy (105 kg). Despite the fact that her abdomen was unnaturally huge, did not believe there was a tumor. Ovarian cysts, on the other hand, frequently develop silently and without symptoms unless they are excessively large and pressure internal organs. Consequently, Ms. N. is really delighted that the procedure went well; the doctors also worked to preserve the ovarian organization as much as they could while limiting the impact on subsequent fertility.
According to Dr. Nguyen Dinh Toi - Head of Obstetrics and Gynecology, Times City General Hospital: "Ovarian cyst is a type of tumor mostly benign, can be seen in women of any age, accounting for about 80% on ovarian tumors. Most cases are harmless, however, the odds of being diagnosed with ovarian cancer in women are 1 in 10,000. Therefore, you should not ignore the symptoms. When you feel a lump on your abdomen, abdominal pain, menstrual disorders, bowel or urination problems, you should see a doctor. Large ovarian cysts can be complicated by torsion, acute abdominal pain, intermittent and pain, progressive progression, often accompanied by vomiting, sometimes severe dehydration and electrolytes or leading to depression. kidneys, life-threatening.
Dr. Toi added: The remainder of the uterus and fallopian tubes must be preserved if the young patient still has ovarian cysts and needs to give birth. Additionally, early tumor removal stops tumor growth and prevents invasion of the wide ligament, protecting the ureters, iliac arteries, bladder, and rectum. The less likely it is that an ovarian cyst may interfere with maternal function, the sooner it is discovered. Only when the tumor is huge or complicated (twisting, infection) can there be symptoms, which frequently appear silently. Women should therefore get frequent health checks so they can catch any problems early and address them. Ovarian cysts can be seen with accuracy using abdominal ultrasonography, despite its simplicity.
Vinmec Health System (Vinmec Times City International Hospital (Hanoi); Central Park General Hospital (HCM City), Phu Quoc International General Hospital (Phu Quoc Island), Nha Trang General Hospital (Nha Trang City) provide providing health checkup service packages suitable for the age, gender and profession for customers to easily choose. Depending on the health status and needs of the customer, a specialist doctor will also advise on the visit package. For more information and specific instructions, please visit the website: http://vinmec.com/timescity/dich-vu-tron-goi-c123.html
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