A 35-year-old woman with abdominal pain for 1 year was shocked to find a lump 18 cm in size, hair and nails, and a full ovary.
Dr. Arak Wongworachat, director of Prachuap Khiri Khan Hospital, posted a case study on a weekend morning health topic of a patient via Facebook page. Arak Wongworachat Had abdominal pain for more than a year before the shock when undergoing abdominal surgery, a 18-centimeter lump in the ovary was found, along with fragments of hair, scalp, nails, teeth, bones and fat in the lump.
In the case of a female patient, about 35 years old, not yet menopausal History has been revealed that Pain in the lower abdomen for more than 1 year, menstrual periods come sometimes Stop and leave for several months, but during menstruation Increased abdominal pain without thinking that something is wrong Later on, I felt that I had more frequent urination, constipation, and pain that weighed down my lower abdomen all the time. But the time to sit will be better. Therefore, I bought enough medicine to relieve myself.
Picture from Arak Wongworachat
Until one day, while doing housework, the patient suddenly had stomach pains. therefore decided to see a doctor at Prachuap Khiri Khan Hospital Physician on duty preliminary examination Suspected pelvic tumors sent for abdominal ultrasound. The 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 immediate surgical treatment.
After surgery, a large 18-centimeter ovarian mass was found on one side, beginning to have 1 twisted polarity, but the lump did not have ischemia. Therefore, the lump was cut out. In addition, the other ovary It was found to be a tumor that was not very large. therefore has also been cut off Some ovarian tissue is left in order to continue producing hormones.
Picture from Arak Wongworachat
Importantly, when dissecting a piece of meat Found hair in clusters with nail parts, 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 bladder cause frequent urination
Therefore, Dr. Arak suggested that If there are abnormal symptoms like this, they should not be ignored. consult a doctor Leaving it at risk of complications such as cysts twisting the terminals until lack of blood supply Resulting in rotten ovaries, ruptured cysts, leaks, severe infections followed. more dangerous And the chance of developing cancer is only 1%.
However, this type of lump is known medically as dermoid cyst It is a disorder in which stem cells grow in the wrong place. instead of developing skin cells come back to grow in the ovary since birth Growing up 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 menstrual pain or menstrual periods that are very frequent and irregular.
Along with revealing advice for abdominal ultrasound examination, not using radiation, easy to check, quick results, no pain, no need to diet General practitioners can perform screening tests. Able to diagnose If there is a continuous abnormality of the body should consult a doctor
Thank you for coming from Arak Wongworachat