Reading Chuang / Shenzhen Business Daily reporter Zhao Hongfei
13-year-old Xiaoxue (pseudonym) has survived a catastrophe in her life! Ten days ago, she was taken to the hospital with sudden abdominal pain, and the examination found that there was a huge cyst of about 40 cm × 30 cm × 20 cm in her abdomen. Because the cyst compresses the intestinal tract, causing symptoms such as intestinal obstruction, surgery may be life-threatening without timely surgery.
The team of the Second Department of General Surgery of Shenzhen Children's Hospital "shot" at an urgent moment and completed this rare and huge ovarian cyst operation. During the operation, about 15,000 ml of sac fluid was extracted, and Xiaoxue has recovered and been discharged from the hospital.
The child suddenly suffered from abdominal pain and "transferred" to 3 hospitals overnight
"Two years ago she suddenly got fat, we thought it was fat", Xiaoxue's mother, Ms. Zhang, introduced that two years ago, Xiaoxue's weight increased rapidly, and her abdomen slowly bulged, but there were no abnormal symptoms such as pain, redness and swelling, and parents did not care. Before the incident, Xiaoxue had 145 pounds, and her stomach was already like a pregnant woman who was pregnant in October.
Ten days ago, when Xiaoxue went to the toilet, he suddenly had a pain in his lower right side of his abdomen, and after taking the medicine, he did not see any improvement. At night, the pain became more and more intense, and her family took her to two nearby hospitals. During the examination, it was found that she had a huge cyst in her abdominal cavity. Due to the seriousness of their condition and the lack of treatment conditions in the primary hospital, the doctor recommended that they immediately go to Shenzhen Children's Hospital for treatment.
"At that time, this child was already in danger of life", Chen Zimin, chief physician of the Second Department of General Surgery of Shenzhen Children's Hospital, said that further examination found that there was a huge cyst in the abdominal cavity of the child with a size of about 40 cm× 30 cm × 20 cm, which occupied almost the entire abdominal cavity. The child has abdominal pain, poor breathing and other discomforts, and if the operation is not carried out in time, it will be life-threatening.
The child has a huge "bomb" in his belly, which is life-threatening
However, it is really difficult to remove this "bomb". First of all, the cyst is huge and it is difficult to extract the cyst fluid. The child's abdominal cyst is huge, and the cyst fluid inside the peritoneal cyst is expected to exceed 10,000 ml. In the extraction of sac fluid, if the abdominal pressure drops too quickly, it is easy to lead to electrolyte disorders, palpitations, difficulty breathing, increased heart rate, etc., which is life-threatening; secondly, the blood vessels on the sac are abundant, and the large blood vessels should be avoided when puncturing and pumping, and if there is a large bleeding, it will also be dangerous;
"This operation, there are still great variables, to do different strain schemes", the main surgeon of the general surgery of the second department of general surgery Deputy Chief Physician Ye Xiaoshuo introduced, the type of this huge cyst before surgery is not clear, if it is a mesenteric cyst, it is necessary to remove the diseased intestine; it is a large omental cyst, it is necessary to cut the cyst; if a large amount of pumping leads to a significant drop in blood pressure, it may be necessary to consider multiple operations and slowly release the fluid in the cyst.
To this end, the surgical team of the Second Department of General Surgery of Shenzhen Children's Hospital and the anesthesiologist discussed various possible situations and formulated corresponding countermeasures. After the operation began, the doctor spent more than an hour to extract 15,000 ml of dark green sac from this huge cyst. After determining that it was a left ovarian cyst, the cyst was carefully removed and the cyst was removed little by little.
After 3 hours, the "bomb removal" is complete: the cyst is completely removed! The child retains 70% of her fertility! After the operation, Xiaoxue recovered well and the indicators were normal. Pathological reports suggest ovarian mucinous cystic adenoma. Ten days after the operation, she successfully went through the discharge procedures. It is worth rejoicing that after removing the "bomb", she was relaxed, only 115 pounds. 30 pounds less than before the operation!
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Ovarian cysts are not adult diseases, and teenage girls may also be "caught"
Ovarian cysts are common gynecological tumors that account for 20% of all ovarian diseases. It can occur at any age and is more common in women of childbearing age, but the possibility of teenage girls being sick cannot be ignored.
The cause of the ovarian cyst is unknown. It may be related to factors such as environment, diet, infection, hormones, etc., and may be caused by a single factor, or it may be a combination of factors. Because the ovaries live deep in the pelvic cavity, there is no obvious discomfort at the beginning of the disease, some only feel slight bloating, and may also be painful in the pelvic area, or there may be compressive symptoms, such as frequent urination, urgency, etc. Many patients seek medical attention after the tumor has grown, the abdomen has been significantly raised, or the tumor has ruptured and abdominal pain has occurred. At this time, the optimal early treatment time is often delayed.
Doctors recommend that women who enter puberty should have regular ultrasound examinations. If parents find that their children's bellies have inexplicably become larger, they must pay attention to them.
Review: Tan Lugang