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Abstract: The patient was found to have an ovarian cyst in her pelvis 20 years ago, which is a benign ovarian tumor, and was not treated because of its small size and the absence of obvious physical symptoms at that time. In the past six months, she felt that her abdomen was significantly enlarged and she had symptoms such as frequent urination, incomplete urination, abdominal pain and lumbar pain, etc. After ultrasound examination of the enlarged ovarian cyst, she was hospitalized for surgery. The patient’s ovarian cyst was successfully removed, her abdomen was significantly reduced, and her abdominal pain and lumbar pain disappeared.
Basic information】Female, 70 years old
Type of disease】Ovarian cyst
Hospital】Jinan Hospital of Integrative Medicine
Date of Consultation】January 2021
Treatment plan】Surgical treatment (transabdominal left adnexectomy) + medication (levofloxacin hydrochloride sodium chloride injection + cefmetazole sodium for injection + compound amino acid injection + sodium lactate ringer injection + tranexamic acid sodium chloride injection)
【Treatment cycle】7 days hospitalization, 1 month postoperative review
Treatment effect] The ovarian cyst was successfully removed, the patient’s abdomen was significantly reduced, and the symptoms of abdominal pain and back pain disappeared.
I. Initial consultation
The patient had been menopausal for 20 years, and a cystic mass was found in the pelvis when she was first menopausal, which was diagnosed as an ovarian cyst. In the past six months, the patient found that her abdomen had increased significantly with symptoms of pressure, frequent urination, incomplete urination, abdominal pain and lumbar pain, and so on. Ultrasound examination of the uterine adnexa revealed a 9.6cm×7.2cm cystic mass in the pelvis, suggesting a pelvic cyst, and the preliminary diagnosis was ovarian cyst, and hospitalization was recommended.
II. Treatment history
After admission, routine blood and urine tests, blood group, coagulation system, biochemical complete set, viral complete set, electrocardiogram, chest X-ray, hepatobiliary, pancreatic, spleen and kidney and vascular ultrasound of both lower extremities were completed, no significant abnormality was found and there was no contraindication for surgery. After completing the examination, surgical treatment was performed, namely transabdominal left adnexectomy. Postoperatively, levofloxacin hydrochloride sodium chloride injection and cefmetazole sodium for injection were given to prevent infection, and compound amino acid injection and sodium lactate ringer injection were given for rehydration treatment, while tranexamic acid sodium chloride injection was given to prevent postoperative bleeding.
III. Treatment results
The surgical procedure was smooth and the ovarian cyst was successfully removed. Anesthesia was effective, respiration and blood pressure were stable, and there was not much intraoperative bleeding. At the 7-day checkup, it was clear that the patient had recovered well, reported normal urination, no abdominal pain, low back pain, light pain at the incision, and significant reduction of abdomen. The patient was asked to review after 1 month.
IV. Notes
We are glad that the patient recovered after active treatment. After discharge, the patient should maintain a good and stable mood, and the family should care about the patient’s state of mind to help recovery. Since the patient is older, he should pay attention to adequate rest and supplement nutrition. He can eat moderately more food rich in dietary fiber and protein, such as cauliflower, milk and eggs, and avoid intake of raw, cold and stimulating things, such as ice cream and hot pot. In addition, patients should pay attention to personal hygiene to ensure that the wounds are clean and fresh to help prevent infection.
V. Personal insight
Ovarian cysts belong to a kind of benign ovarian tumor, which is more common in gynecological clinics. Most patients are found through physical examination, and older women are prone to larger ovarian cysts due to lack of health awareness and irregular checkups, resulting in some pressure symptoms, such as frequent urination and incomplete urination. Therefore, ultrasound examination of the uterine adnexa is particularly important for women. Women who are in a position to do the examination once a year, and women who are not in a position to do it at least once every 2 years, so that early detection and early treatment can be achieved.