Qianjiang Evening News·Hours News Correspondent Sun Junjie
This year, Yuanyuan and his wife plan to have a child. In February, the fetal heartbeat stopped shortly after the first pregnancy, and they had to give up. Two months ago, Yuanyuan became pregnant again. However, Yuanyuan's weight exceeds the standard, with a height of 160cm and a weight of 170 kilograms, making her a high-risk pregnant woman. In addition, the fetus stopped jumping, this time, everyone was so excited that they scored 100 points and were well prepared.
On the end of September, Yuanyuan suffered severe pain in her upper left abdomen without any warning. The anxious family rushed to the gynecology department of Dingqiao Campus of Hangzhou Traditional Chinese Medicine Hospital as quickly as possible.
Source: Visual China
After Ma Jing received the diagnosis, he found that Yuanyuan's vital signs were relatively stable, with no signs of miscarriage such as vaginal bleeding, lower abdomen pain, etc. However, considering that Yuanyuan is a high-risk mother and has a past history of miscarriage, Ma Jing perfected the ultrasound examination for Yuanyuan and found that there was no abnormality between the uterine attachment and the fetus. However, she was careful and found that there was a huge mixed echo mass of about 8.8cm*7.7cm in the adrenal area on the left side of the pregnant woman.
Yuanyuan said that the lump was found during the prenatal physical examination, but she didn't take it seriously.
Ma Jing called out Yuanyuan's ultrasound diagnosis single, and the lump at that time was about 5cm*5cm. "Not good! It's not long before this tumor grew so much?" Ma Jing couldn't help but feel alert. Afterwards, after giving Yuanyuan an electrocardiogram and strict bedridden medical advice, she immediately contacted Cheng Minjie's team of renal surgery for consultation.
Understand past medical history and condition, Cheng Minzhi judged that Yuanyuan might have acute adrenal bleeding. After completing the complete set of adrenal function examinations, the enhanced CT was further improved, and the cause of acute adrenal bleeding was confirmed. But at the same time, Cheng Minjie also found a worse news - the patient's left adrenal area mass suddenly became larger again, increasing to 12cm*9cm, and Yuanyuan also showed symptoms of worsening pain in the left abdomen, waist and ribs, and white lips.
Source: Visual China
Adrenal glands are a small hat above the kidneys on both sides. It can secrete a variety of hormones that are crucial to the human body, such as glucocorticoid , mineralocorticoid , sex hormones, etc. This important organ is actually very small, often only 4-6cm long and 2-3cm wide, and has an extremely rich blood supply. Usually, a rich blood supply helps the adrenal glands deliver the hormones produced throughout the body. However, in acute bleeding, a rich blood supply often means great danger, which can easily cause a large amount of coagulation factors to be consumed, causing secondary and severe internal bleeding, which may lead to death.
At this time, surgical removal of the left adrenal gland and blocking the bleeding blood vessels to prevent large amounts of bleeding is the best solution to save the patient's life. However, at present, the fetus in the patient's abdomen has only grown to the eighth week and is still in the stage of being susceptible to surgical anesthesia drugs and surgical trauma. If the surgery is performed, it is very likely that the child will develop normally and even have deformities.
Cheng Jingji immediately told the couple about the detailed condition, surgical plan and adverse effects one by one. Before Yuanyuan could speak, the husband held his wife's hand and said first, "Doctor, do surgery immediately and save my wife!"
Yuanyuan's surgery was successfully completed under the surgery of Huang Yasheng, director of the renal surgery department. The operation was taken out a huge mass of about 12cm in length, filled with a large amount of blood clots. After the operation, with the careful treatment and care of the nephrosurgery medical team, Yuanyuan's vital signs returned to stability. Unfortunately, she is about to undergo a gynecological abortion.
"Adult tumors are not uncommon now, but 90% of adrenal tumors are benign." Director Huang Yasheng said, "If Yuanyuan can intervene in time when it is discovered, it will not cause such a situation today." Benevolent tumors do not mean that there is no need for treatment. After discovering adrenal tumors, further examinations should be improved. According to the hormone levels in the body, the patient's symptoms, and the size and nature of the tumor, regular reviews and observations or surgical treatments are carried out under the advice of the doctor.
Although most adrenal tumors are asymptomatic and appear benign, some adrenal tumors still undergo malignancy.When the adrenal mass becomes enlarged rapidly within a few months or a year, patients should seek medical attention as early as possible.
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