China Jiangsu network on September 1 Xuzhou news Recently, the patient Ms. Yan went to the gynecological clinic of Xuzhou Ruibo Hospital for medical treatment due to lower abdominal pain and nausea. After detailed examination, the diagnosis was that the ovarian cyst was ruptured, and the two departments of Ruibo Gynecology and Anesthesia cooperated closely to perform emergency laparoscopic surgery, and finally successfully removed the cyst and decomposed the adhesions.
Three years ago, Ms. Yan found an ovarian cyst during a physical examination at Xuzhou Ruibo Hospital, but did not review it regularly. Four hours before this admission, the sudden sensation of lower abdominal pain was persistent, accompanied by symptoms of nausea. After admission, Zhao Qing, a night doctor of Ruibo Gynecology, received the consultation, carefully inquired about Ms. Yan's medical history, carefully examined the body, CT examination showed that a 4*5cm cystic mass was seen on the left side of her pelvic cavity, the color ultrasound examination showed that the pelvic probe and the range of about 76*26mm liquid dark area, the left ovary visible 45*26mm mixed echo photophore, the surrounding blood flow signal can be seen.
Based on years of clinical experience, Zhao Qing considered that it was likely to be acute abdomen and required emergency surgery. After communicating with Ms. Yan and her family about their condition and expressing their willingness to undergo surgical treatment, they reported to Director Jing Cuiying, a gynecologist, for laparoscopic exploration.
Before the operation, Jing Cuiying led the team to conduct an emergency preoperative discussion, combined with Ms. Yan's own situation, fully assessed the difficulty of the operation, combined with various auxiliary examinations, and finally chose the most traumatic laparoscopic minimally invasive surgery.
During the operation, the two departments of gynecology and anesthesia worked closely together, and after the success of anesthesia, Jing Cuiying led the team to officially carry out emergency laparoscopic minimally invasive surgery. During the operation, there is a total of about 100ml of coffee-colored blood in front of the uterus, the uterus is normal in size, the posterior wall is slightly full, and there are multiple adhesions on the anterior wall of the uterus and the uterine floor, which are decomposed. Bilateral fallopian tubes and right ovaries are normal, the left ovary is 20 *17 *8 cm, there is a cystic mass with a diameter size of about 8 cm, the wall is thick, the surface has a rupture of 0.6 .6cm, and the coffee-colored liquid flows out of it.
Jing Cuiying and the team cooperated tacitly and methodically, after cleaning the fluid in the abdominal cavity, performed left ovarian cyst decortication + pelvic adhesion decomposition, and after the successful operation, Ms. Yan and her family praised the exquisite technology and service concept of the Gynecology Department of Ruibo Hospital.
Rainbow gynecologist ovarian chocolate cyst is endometriosis. The disease can cause infertility and dysmenorrhea or develop menorrhagia and prolonged menstruation. If the chocolate cyst is relatively large, it is easy to cause rupture. Once a chocolate cyst ruptures, it can cause unbearable pain in the lower abdomen, requires immediate surgical treatment, and the disease is prone to pelvic adhesions and infertility. Therefore, once it is determined that the ovarian chocolate cyst is ruptured, surgery must be performed immediately to remove the lesion. If it is a woman of childbearing age, medication is needed, otherwise the ovarian chocolate cyst is prone to recurrence. (Zhang Wen)