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Abstract: A 33-year-old female patient complained of occasional vague pain in the lower abdomen, and was examined for ovarian cysts, and underwent laparoscopic ovarian cyst removal. Ovarian cysts are usually asymptomatic, but a small number of ruptures and torsions can manifest as acute abdominal pain. Therefore, regular checkups are needed for early detection and early treatment to avoid further health risks from cyst rupture.
Basic information】Female, 33 years old
Disease Type】Ovarian cyst
Hospital】Hunan Provincial Maternal and Child Health Hospital
Date of consultation】March 2022
Treatment plan】Surgical treatment (laparoscopic ovarian cyst removal)
Treatment period】7 days of inpatient treatment + 1 month of outpatient review
Results】The patient had a successful surgery and was discharged without discomfort after surgery.
I. Initial consultation
The patient was 33 years old, married, and a pelvic mass was found during the physical examination. She complained that she had been sleeping poorly since she learned of the mass and was worried that it was a malignant cyst. I told the patient to relax and performed pelvic ultrasound and MR. The ultrasound findings suggested that a hypoechoic mass of 3.6*3.3*3.8 cm in size was detected in the left adnexal region, with a partially unclear contour and an indistinct posterior border. other? pelvic effusion. Based on the examination results and the patient’s clinical presentation, the patient was initially diagnosed with ovarian cyst and was advised to be admitted for surgical treatment and postoperative pathological analysis of the lesion tissue for further diagnosis, to which the patient agreed.
II. Treatment process
After the patient was admitted to the hospital, I communicated with the patient about the surgical approach. The patient was young and was advised to prefer ovarian cyst debulking in the absence of a confirmed diagnosis of malignant cysts. Combined with the imaging data, the patient’s ovarian cyst was not large and had the possibility of complete laparoscopic resection, so laparoscopic surgery was recommended. The patient agreed and perfected the preoperative preparation. The laparoscopic ovarian cyst removal was performed under general anesthesia. The total diameter of the left ovarian mass was about 4 cm, and the lesion was sent to the pathology as fibroma. After surgery, the patient returned to the ward. After 7 days of hospitalization, the patient was discharged successfully.
III. Treatment results
The patient had a smooth surgical procedure, resumed venting and could move to the ground 1 day after surgery, and had one bowel movement after 3 days. The patient’s urinary catheter was removed 1 day after surgery, and he could resume urination on his own. The patient did not complain of any special discomfort during hospitalization and had no other postoperative complications, and was discharged successfully after her symptoms improved.
IV. Precautions
The patient was relatively young and recovered quickly. After learning that the lesion was benign, the patient felt better and I was happy for her. Before discharge, I told the patient to go home and relax, avoid excessive mental and emotional stress, pay attention to diet and nutrition, eat more food to nourish qi and blood, such as red dates, wolfberry, sesame, etc., and avoid cold, spicy and stimulating food. After surgery, pay more attention to rest, avoid strenuous exercise, forbid intercourse within 1 month, and follow up in time after 1 month.
V. Personal insight
In this article, the patient had been worried after the pelvic mass was found during the physical examination, but the result was an ovarian cyst, and after learning that it was a benign lesion, the patient expressed a false alarm. Ovarian cysts, in most people, have no conscious symptoms, and a few people may have vague pain in the lower abdomen. When ultrasound suggests a pelvic mass, a professional doctor needs to be consulted and, if necessary, surgical removal treatment is required to clarify the nature of the cyst to ensure good health.