The doctor found a "monster" in her stomach. An 8-year-old girl from Hangzhou vomited continuously after jumping rope

The new semester has just begun,

Many children practice skipping rope under the supervision of their parents.

An 8-year-old girl in Hangzhou suddenly experiences abdominal pain and vomiting after skipping rope,

The doctor found an ovarian cyst in his body with a torsion of the pedicle twice,

At the same time, there is also a "monster"

Ovarian torsion 720 degrees after skipping rope

And also discovered the "fetus"

"The child may have eaten bad food and vomited very badly." Recently, Chen Guoqing, Deputy Chief Physician of Pediatrics at Zhejiang Provincial People's Hospital, received a young girl who had vomited seven or eight times before the visit. However, the doctor quickly ruled out that it was caused by eating unclean food.

Upon further examination of her medical history, the doctor discovered that the little girl experienced abdominal pain, accompanied by nausea and vomiting, half an hour after jumping rope that day. "Unable to lie flat, after careful examination, it was found that there was obvious tenderness in the lower right abdomen. Is it appendicitis?" Director Chen Guoqing immediately arranged for blood tests, abdominal ultrasound and CT scans, and the examination report suggested that there may be torsion of the cyst pedicle in the right ovary.

Without delay, Chief Physician Wang Yanpeng of the Obstetrics and Gynecology Department of Zhejiang Provincial People's Hospital urgently performed laparoscopic surgery on the girl. During the operation, she saw a significant enlargement of the right ovary, with a dark black surface and local ischemic necrosis. There was a 7.5x7x7 cm cyst with a thin wall and visible hair, fat, etc. inside. Its pedicle was composed of the right pelvic funnel ligament, twisted twice, about 720 degrees. After surgery, Chief Physician Wang Yanpeng successfully saved the girl's ovaries and completely removed the cyst. Rapid freezing revealed mature cystic teratoma. On the second day after surgery, the little girl was able to get out of bed.

"Among various types of ovarian tumors, there is a type of tumor that contains hair, teeth, oil, and even bones, known as ovarian teratoma." Director Wang Yanpeng said that it did not evolve from a woman who conceived a "monster", but originated from abnormal proliferation of reproductive cells. It belongs to a type of tumor that grows in ovarian tissue and is formed by abnormal proliferation and aggregation of reproductive cells. Mature teratomas are benign, with approximately 1% being immature teratomas. After listening to the doctor's explanation, the girl's parents finally breathed a sigh of relief.

Be extra vigilant

Abdominal pain after intense exercise

Director Wang Yanpeng introduced that torsion of ovarian cyst pedicle is a common gynecological emergency. The gynecology department of Zhejiang Provincial People's Hospital receives about 50 similar patients every year, and it occurs in all age groups.

Ovarian cyst pedicle torsion is usually more common in tumors with a long pedicle and a biased center of gravity to one side. It is more likely to cause ovarian cyst pedicle torsion after vigorous activities such as skipping rope, running, playing ball, or changing positions. A woman in her thirties stuttered when the doctor asked about her medical history, but later blushed and said that she experienced abdominal pain during sexual activity, and upon examination, it was a torsion of the ovarian cyst pedicle.

"Most teratomas have no symptoms, and when the tumor is large, it can touch the pelvic mass. When twisted and ruptured, it can cause acute abdominal pain. Clinically, a 5cm sized teratoma is most prone to torsion, with typical symptoms of unilateral lower abdominal pain accompanied by nausea and vomiting after intense activity. It needs to be differentiated from acute abdominal diseases such as appendicitis and gastroenteritis. Examination of the body mass and its pedicle may cause tenderness, and ultrasound can detect a mass in the accessory area with reduced or even disappeared blood flow. Inflammatory indicators such as white blood cells and CRP do not increase or slightly increase." Director Wang Yanpeng said that once torsion is detected, laparoscopic exploration should be actively carried out to protect fertility. The earlier the surgery, the greater the chance of preserving ovarian function; After complete blockage of ovarian blood supply, it is often difficult to recover, and even if the ovaries are successfully preserved, their function will be severely damaged.

At present, the conventional treatment method for teratoma is laparoscopic surgery, which has small trauma and fast recovery. "Special attention should be paid to protecting normal ovarian tissue during surgery. Postmenopausal women can consider removing the ovaries and fallopian tubes to avoid recurrence. Benign teratomas generally reach 5 centimeters, and it is recommended to undergo laparoscopic surgery with a relaxed standard of over 3 centimeters. Director Wang Yanpeng said that it should be noted that about one-third of teratomas are multiple, and there are already multiple" seed cells "of teratomas in the ovaries, but generally only teratomas exceeding 1-2 centimeters can be detected and treated.". After surgical removal of large teratomas, those hidden "seed cells" may continue to grow. Therefore, it is recommended that patients undergo regular postoperative follow-up examinations.