
Image of a giant ovarian cyst occupying the entire abdomen, compressing and causing abdominal aorta collapse, organs being displaced, and ureters being compressed, causing bilateral renal pelvis dilation.
For many years, Ms. DTH (56 years old, residing in Nghi Xuan, Ha Tinh ) had to live with an increasingly large, heavy and uncomfortable belly. Thinking that she was gaining weight with age, she did not worry too much but silently endured the inconveniences in daily life. Only when her breathing became short, her meals were difficult to swallow and her sleep was restless because of stomach pain, did she decide to go to Vinh City General Hospital for a check-up.
Here, the doctors were surprised to see the patient's abdomen swollen and tense like that of an 8-month pregnant woman. The 256-slice CT scan showed a giant ovarian cyst occupying almost the entire abdomen, compressing and collapsing the abdominal aorta, displacing many organs, compressing the ureters, causing dilation of the renal pelvis on both sides, and even deforming the spine.
Ms. H. recounted that her growing belly made it impossible for her to bend down, and taking deep breaths also became difficult. "I thought it was because I was old and inactive that fat accumulated in my belly. It was only when I had pain, difficulty breathing, and a poor appetite that I worriedly went to see a doctor," Ms. H. shared.

Surgeons remove ovarian cyst from DTH patient's abdomen
After consultation and consideration of the patient's wishes, the surgical team decided to perform open surgery to remove the tumor combined with abdominal wall reconstruction. This option was considered more suitable than laparoscopic surgery because the abdominal wall had severely dilated after a long period of pressure from the giant tumor. This approach helps the doctor remove the entire tumor, tighten the abdominal muscles, remove excess skin and hide the incision, ensuring both function and aesthetics. This is a complex technique, requiring meticulousness, precision and high skills of the surgical team.
The surgery took place under strictly controlled conditions. The tumor weighing more than 6kg was completely separated and removed, helping to completely free the organs from prolonged compression. During the same surgery, the team continued to tighten the abdominal muscles, remove excess skin and reconstruct the abdominal wall in an aesthetic direction, ensuring optimal recovery for the patient.
When she woke up after the surgery, Ms. H. immediately felt her body lighten: her breathing was deeper, her stomach was no longer tense, and her fatigue was significantly reduced. “I didn’t think there was such a big tumor in my stomach. Now I feel liberated,” Ms. H. shared.

Ovarian cyst weighs more than 6kg.
According to Dr. Bui Danh Anh (Head of General Surgery Department 01), the doctor in charge of the surgery, this is a difficult surgery because the tumor is large, thin cystic, and has a high risk of rupture; at the same time, the organs have been compressed for a long time, causing the anatomy to change, requiring precise and meticulous manipulation. "The important thing is to remove the tumor intact, minimizing the risk of organ damage and blood loss. At the same time, the abdominal wall needs to be reconstructed properly to ensure function and aesthetics after surgery," Dr. Anh emphasized.
“Ovarian cysts are a disease that can progress silently for many years without causing obvious pain. Many patients confuse it with weight gain, digestive disorders or age-related changes in the body, leading to delays in medical examination. When the tumor is too large, the risk of complications increases, and surgery also becomes more difficult and risky,” added Dr. Bui Danh Anh.


Images of DTH patients before and after surgery.
Ms. H.’s case is a reminder of the importance of regular check-ups and monitoring for unusual changes in the body. Timely intervention not only helps in effective treatment but also ensures patient safety.
Source: https://suckhoedoisong.vn/phau-thuat-khoi-u-nang-buong-trung-nang-6kg-cho-nguoi-phu-nu-56-tuoi-169251121122754839.htm






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