A female Ghanaian soldier with a ruptured ovarian cyst was successfully treated by doctors at the Vietnam Field Hospital. (Photo: Sy Cong) |
A 35-year-old female patient, of Ghanaian nationality, presented with severe lower abdominal pain after an intense military physical training session involving long-distance running.
At Ghana Level 1 Hospital, doctors suspected the patient had ovarian cyst torsion and transferred her to Vietnam Level 2 Field Hospital No. 6 for emergency treatment.
Upon arrival at the hospital, the patient's blood pressure dropped. Immediately, the hospital's Obstetrics and Gynecology, Abdominal Surgery and Gastroenterology specialists held an emergency consultation and sought advice from Obstetrics and Gynecology specialists at Military Hospital 103, Military Medical Academy.
Through clinical examination and testing, the patient was diagnosed with intra-abdominal bleeding syndrome due to rupture of a functional cyst of the left ovary. Ultrasound showed an abnormal mass in the ovary measuring 46x42mm, with bleeding in the ovarian cyst and fluid in the cul-de-sac. Blood tests showed anemia with hemoglobin only 108g/L.
After 7 days of treatment, the patient's condition improved significantly, no more abdominal pain, abdominal fluid and ovarian cyst reduced in size to 25x22mm. (Photo: Sy Cong) |
According to doctors, the patient had a history of giving birth to two children, one of which was a cesarean section, removing the right ovary, causing abdominal adhesions, creating additional challenges for surgery.
The on-call team quickly implemented active emergency measures, including intravenous fluids, hemostatic drugs, antibiotics, and anti-inflammatory drugs. The patient was then transferred to the Department of Surgery-Specialty for continued treatment and special care. During the monitoring process, there was a time when the hemoglobin dropped to only 97g/L.
To avoid the risk of invasive surgery, the patient is completely immobilized, nourished intravenously, and treated medically according to the protocol.
After 7 days of treatment, the patient's condition improved significantly, no more abdominal pain, abdominal fluid and ovarian cyst reduced in size to 25x22mm.
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