(Disclaimer: This article is for general use only, and the information in the following content has been processed to protect patient privacy)
Abstract: A 55-year-old female patient reported that 2 years ago at another hospital, bilateral pelvic masses were found during a gynecologic ultrasound examination, after which the patient was advised to undergo further tests in order to identify the causative agent, but the patient did not pay attention to it and came to our hospital yesterday. After the imaging examination, surgery was immediately taken and the surgical treatment was good with no other complications. The patient was discharged after her symptoms improved and her condition stabilized.
Basic information】Female, 55 years old
Disease Type】Ovarian cyst
Hospital】Hunan Provincial Maternal and Child Health Hospital
Date of consultation】June 2022
Treatment plan】Surgical treatment (laparoscopic bilateral adnexal resection)
Treatment period】In-hospital treatment for 5 days, outpatient review 1 month after discharge
Results】Smooth surgery and good postoperative recovery
I. Initial consultation
The first time I saw the patient, the patient complained that the pelvic mass had been found in other hospitals for more than one year, but because she did not have other adverse phenomena, she did not pay attention to it and did not seek medical treatment, and came to the hospital to check whether the pelvic mass still existed. After listening to the patient’s description, I performed a gynecological examination and touched cystic masses on both sides of the uterus. The masses were medium in texture, smooth on the surface, movable and without pressure pain.
II. Treatment history
The patient was found to have a pelvic mass of unknown nature after menopause, and surgery was recommended. According to the ultrasound examination, the possibility of benign lesion was considered, and laparoscopic bilateral adnexal (fallopian tube + ovary) resection or laparoscopic hysterectomy + bilateral adnexal (fallopian tube + ovary) resection was performed. Laparoscopic bilateral adnexal resection was performed, and intraoperative rapid frozen section suggested a benign lesion. The operation went smoothly and the patient was sent back to the ward after her vital signs were stable.
III. Treatment results
On the day of surgery, the patient’s mental state was good, and the pain at the surgical incision was not particularly obvious. The patient complained of no obvious discomfort on the second day after surgery, and there was not much oozing from the surgical incision site. The patient recovered well on the 4th postoperative day, and no cystic mass was seen in the ovary after the ultrasound.
IV. Precautions
I was very happy to see that the patient recovered well, and advised her to drink more warm water everyday to promote urination to prevent urinary retention. In the period after surgery, the body is usually weak and the patient’s gastrointestinal function is also affected. Patients are advised to avoid eating spicy, cold and hard foods and to choose a soft, light diet. It is also recommended to avoid exertion for one month and to review the outpatient examination after one month.
V. Personal insight
Ovarian cysts are actually a descriptive term of ultrasound, and all cystic masses on the ovaries can be described as ovarian cysts. In fact, according to the pathological diagnosis, ovarian cysts are physiological and pathological, usually without obvious discomfort and only found during physical examination, just like the 55-year-old female patient in this case, the patient had a longer period of time after the disease without taking treatment measures, but fortunately The disease did not deteriorate, or secondary diseases such as ovarian cyst tip torsion, rupture, infection, etc. After surgery and medication, the disease was well controlled. It is also advisable for everyone to have regular medical checkups and to seek medical help for any discomfort in their lives.