Red Net Moment News on January 29Recently, Ms. Yuan was admitted to Yueyang Hospital of Traditional Chinese Medicine for sudden severe abdominal pain and was diagnosed with ovarian cyst pedicle torsion. Fortunately, the diagnosis was timely and the treatment was timely, and he was discharged from the hospital soon. Ms. Yuan said with emotion: "The pain really came from the beginning, but I didn't expect that my going to the toilet would cause so much pain." If it weren't for Dr. Zhao's prompt diagnosis and treatment, I don't know how many more sins I would have suffered. ”
Ms. Yuan, 36, began to experience intermittent lower abdominal pain in early 2023, but did not take it seriously. Until the end of November, the pain gradually became more frequent, and the results showed that Ms. Yuan had a pelvic mass. Given the small size of the mass, doctors did not take any further steps against it. Who would have thought that after Ms. Yuan went to the toilet this time, she suddenly felt a sharp pain in her lower left abdomen. Ms. Yuan slowly walked out of the toilet holding her stomach, and every step was accompanied by unbearable pain. Seeing this, her family immediately escorted her to Yueyang Traditional Chinese Medicine Hospital for treatment.
Doctor, my stomach hurts! It hurts! It hurts so much that I want to die! "When Ms. Yuan arrived at the outpatient clinic of Yueyang Traditional Chinese Medicine Hospital, she was already in pain and could not walk on her own. The outpatient doctor quickly activated the green channel and arranged for Ms. Yuan to be carried on a stretcher to complete the CT examination, and the results showed that the left adnexa was mixed with dense mass lesions, considering the possibility of hematoma and a small amount of pelvic effusion. Zhao Xiangjiang, deputy chief physician of the Department of Obstetrics and Gynecology, received an emergency consultation, and after careful physical examination and medical history, combined with the results of pelvic CT and blood tests, Ms. Yuan was diagnosed with a high possibility of ovarian tumor pedicle torsion. The situation is not optimistic and immediate surgery is required**. Zhao Xiangjiang immediately communicated with Ms. Yuan and her family about her condition and stressed the urgency of the operation. Ms. Yuan and her family were shocked and decisively decided to undergo surgery.
Subsequently, Zhao Xiangjiang and his team quickly began preoperative preparations, and about 10 minutes later, Ms. Yuan was pushed to the operating room. Laparoscopic exploration found that the left ovary was enlarged and hard, the left fallopian tube was thickened and tortuous, purple-blue, the attachment on this side was completely torsioned and necrotic, and even if the ovarian tumor was only removed, the remaining fallopian tube was very likely to cause problems such as effusion, congestion, bleeding, and infection, and a second operation was required. Ms. Yuan's situation was much more complicated than expected, and she immediately communicated with the patient's family again to inform them of the surgical plan. Immediately after consent, left adnexectomy is performed. Fortunately, a rapid intraoperative pathological examination showed that Ms. Yuan's ovarian tumor was an ovarian fibroma, which was a benign tumor.
After the operation, Ms. Yuan's pain was basically relieved, her vital signs were stable, supplemented by traditional Chinese medicine*** Under the close attention of the obstetrics and gynecology team and the careful care of the medical staff, Ms. Yuan's physical condition improved rapidly. Ms. Yuan and her family expressed their gratitude to Zhao Xiangjiang and his team for their superb medical skills and timely treatment.
According to Zhao Xiangjiang, ovarian cyst pedicle torsion is the most common acute abdomen, and its main causes are ovarian lesions and body position changes. If the patient has ovarian intraepithelial cysts, tumors and other diseases, it may lead to an increase in the volume of the patient's ovaries or tumors, and then increase in weight, in this case, if the patient suddenly changes his position, due to gravity, it may lead to twisting, and then there is severe pain, incomplete torsion can be reduced by itself, complete torsion can not be reduced, venous return is blocked after acute torsion, intratumoral congestion, blood vessel rupture, resulting in rapid enlargement of the tumor, and then blocked due to arterial blood flow, Tumor necrosis turns purplish-black and can rupture, hemorrhage, and secondary infection. Therefore, once pedicle torsion is diagnosed, surgery should be performed immediately**.