Changjiang Daily Wuhan Client, July 24th The 54-year-old patient, Ms. Peng, suffered from sudden lower abdominal pain. When she arrived at the hospital, Ms. Peng had a painful face, an anemic appearance, and a high fever of 39°C. The test results can only show the rupture of the pelvic tumor with infection, and cannot further confirm the exact location of the ruptured tumor in the pelvis. The patient’s condition is very critical. Under the premise of implementing various measures for epidemic prevention and control, a diagnosis and treatment team consisting of gynecology, hepatobiliary surgery, and gastrointestinal surgery was quickly formed, and the diagnosis was made during the operation, which saved the patient’s life in time.
At 10:00 am on July 23, Ms. Peng was admitted to the hospital due to lower abdominal pain. The emergency gynecological color Doppler ultrasound showed that there was a mixed mass in the pelvis, and there was a large amount of fluid around the uterus. After 10ml of non-coagulated blood was drawn by puncture, it was confirmed that the patient’s intra-abdominal hemorrhage was clear.
Pelvic tumor found by color Doppler ultrasound.
Liu Hailin, director of the gynecology department who was informed of the bleeding situation, knew very well that this kind of situation urgently needed immediate surgery and could not afford to delay even a minute. However, the source of the tumor in this patient is not yet clear and the patient has fever symptoms. The preoperative CT showed that there were nodules in the liver, and surgical conditions could not be ruled out. So she quickly opened the green channel to solve the problem on the spot according to the requirements of epidemic prevention and control. At the same time, she invited Ding Yibing, deputy chief physician of the Department of Hepatobiliary Surgery, and Director Li Sheng and Deputy Director Xiao Dongyun of the Department of Gastrointestinal Surgery for consultation.
The multidisciplinary medical team operates on the patient.
A tumor of about 9*7cm in size was found in the patient’s pelvis during the operation. The tissue was brittle and the active bleeding was obvious. The pus after the rupture of the tumor makes the right adnexal area of the pelvis adhere to the retroperitoneum and the appendix of the intestinal canal, which brings great difficulty to the exploration. Experts from the three disciplines were responsible for their respective responsibilities. After excluding hepatosplenic and ovarian tumor hemorrhage, Li Sheng and Xiao Dongyun from the Gastrointestinal Surgery Department led the operation, and continued to explore for intestinal tumor rupture and adhesion infection, and then underwent surgical resection.
The operation lasted for more than 3 hours, and the operation was successfully completed. The patient’s vital signs were stable throughout the whole process, and he was transferred to gastrointestinal surgery for further treatment.
Liu Hailin, director of the Department of Gynecology of Huangpi District People’s Hospital, reminded that once the pelvic tumor ruptures, the patient needs to go to the hospital for surgery immediately. Because tumor rupture can lead to intra-abdominal hemorrhage and tumor seeding, if not treated in time, it will be life-threatening and affect the prognosis of patients.
In addition, common diseases causing acute abdominal pain in women include pelvic inflammatory disease, ovarian cyst torsion, ovarian rupture, ectopic pregnancy, urinary calculi, gastrointestinal perforation and acute appendicitis, which can be covered in Women of any age, the majority of female friends must not ignore the usual physical examination, early detection and early treatment of problems. (Correspondent Liu Zhihua Zhang Hongmei, Changjiang Daily reporter Liu Yue)
[Editor: Yu Lina]
[Source: Changjiang Daily – Changjiang Net]