A 35-year-old woman with abdominal pain for 1 year was shocked to find an 18cm lump, hair and nails, and a full ovary.
Dr. Arak Wongworachat, Director of Prachuap Khiri Khan Hospital, posted a case study on a patient’s weekend morning health topic via Facebook page. Arak Wongworachat Had abdominal pain for more than 1 year prior to shock during abdominal surgery, an 18cm lump was found in the ovary, along with bits of hair, scalp, nails, teeth, bone and fat in the lump.
In the case of a female patient, about 35 years old, not yet menopausal History revealed that Pain in the lower abdomen for more than 1 year, sometimes menstrual periods come Stop and leave for several months, but during menstruation Increasing abdominal pain without thinking that something is wrong. Afterwards, I felt I had more frequent urination, constipation, and pain weighing down my lower abdomen all the time. But the time to sit will be better. Therefore, I bought enough medicine to get rid of it.
Photo by Arak Wongworachat
Until one day, while doing household chores, the patient suddenly had stomach pains. she therefore decided to see a doctor at Prachuap Khiri Khan Hospital Preliminary examination by the duty doctor Suspected pelvic tumor sent an abdominal ultrasound Radiologist read that it was a mass in the lower abdomen. There is a mixture of liquid parts. Therefore, consult a specialist in obstetrics and gynecology. Take the patient to bed in the hospital. Plan for immediate surgical treatment.
After surgery, a large ovarian mass 18cm on one side was found, starting to have 1 twisted polarity, but the nodule was not ischemic. Therefore, the lump was cut out. In addition, the other ovary It turned out to be a not very large tumor. so it was also cut out. Of the ovarian tissue is left to continue producing hormones.
Photo by Arak Wongworachat
Importantly, when dissecting a piece of meat I found hair in clusters with parts of nails, scalp, bones and full of fat. The cause of constipation Because the mass in the pelvic floor is large. causing pressure on the large intestine pressure on the bladder causing frequent urination
Therefore, Dr. Arak suggested that If there are abnormal symptoms like this, they should not be ignored. consult a doctor Leaving him at risk of complications such as cysts that twist the terminals up to lack of blood supply This results in rotten ovaries, ruptured cysts, discharge and serious infections. more dangerous. And the chance of developing cancer is only 1%.
However, this type of lump is medically known as a dermoid cyst. It is a disorder in which stem cells grow in the wrong place. instead of developing the skin cells develop again in the ovary from birth Grow to a large size showing the symptoms mentioned above. It’s not superstition at all.
which dermoid cysts rarely show obvious symptoms. But most patients will come to the doctor with the following symptoms: pain in the lower abdomen on one side or all over the stomach, constipation, frequent urination, unusual thickness of the abdomen. palpation found a lump in the abdomen Some people may have period pains or very frequent and irregular periods.
Along with revealing advice for abdominal ultrasound examination, using no radiation, easy to check, quick results, no pain, no need to diet General practitioners can do screening tests. Able to diagnose If there is a continuous abnormality of the body should consult a doctor
Thank you for coming Arak Wongworachat
