Unexpected discovery from silent symptoms
On March 21, Ms. LTĐ was admitted to Vinmec Central Park International General Hospital with prolonged abdominal pain, fatigue, and a weight loss of 7kg in just 3 months.
Through examination, the doctor discovered a 10-12cm abdominal tumor located in the left ovary and classified as having a high risk of malignancy (ORADS 5). Ultrasound images and clinical examination also showed that the tumor was firmly attached to the colon, with gas inside - a rare sign in ovarian tumors, raising suspicion of a fistula.
Dr. Nguyen Chi Quang - Head of Obstetrics and Gynecology Department (Vinmec Central Park) explains in detail about tumor images and treatment process to patients.
Instead of intervening immediately, the doctors performed an MRI and colonoscopy to determine the exact situation. The results confirmed the initial concerns: there was a fistula between the colon and the ovarian tumor. If surgery were performed immediately, the risk of fecal leakage, peritonitis, and the need for an artificial anus was very high.
Given the patient's state of exhaustion, anemia, and malnutrition, the multidisciplinary team decided to postpone surgery to focus on improving his physical condition before surgery.
In the 7 days before surgery, the patient received comprehensive care from blood transfusion, iron supplementation and nutrition under close coordination between the departments of hematology, nutrition, ICU, anesthesia, gynecology, and gastroenterology.
"I came here like a withered tree. Thanks to the blood transfusion and nutrients, I feel like I've been revived," Ms. D. shared.
One major surgery - two specialties - six hours to save a life
When the patient's condition was stable, the Vinmec medical team performed a 6-hour major surgery with the coordination of Dr. Nguyen Chi Quang (Head of Obstetrics and Gynecology Department), Dr. Nguyen Van Nghia (Digestive Surgery), expert William A. Casteleins and the anesthesia and resuscitation team.
The tumor was firmly attached to the rectum, pelvic wall, and the entire sigmoid colon (a part of the large intestine). During the dissection, a perforation was discovered in the colon as diagnosed. The team performed two major surgeries simultaneously: hysterectomy, two adnexa, left colon, greater omentum resection, and pelvic and aortic lymph node dissection.
In particular, the doctor used an automatic intestinal stapler to help re-establish digestive circulation during surgery, helping the patient avoid temporary anal opening, shortening recovery time.
"If divided into two surgeries, the risk is very high. The most optimal solution is to combine and thoroughly handle the problem in one surgery," said Dr. Nguyen Chi Quang, Head of the Department of Obstetrics and Gynecology.
LTĐ patient happily shares his journey to overcome the disease after successful treatment.
After surgery, the patient was cared for in the intensive care unit, closely monitoring her nutritional status and rehabilitation. Thanks to effective coordination between multidisciplinary teams, Ms. D. recovered well, was mentally stable, and had regular check-ups after discharge.
"I am very grateful to the doctors at Vinmec. Not only are they highly skilled, they are also very dedicated and thoughtful. Now my health is almost back to normal," Ms. D. said emotionally.
The success of the complex surgery not only demonstrates outstanding professional capacity but also proves the effectiveness of the multidisciplinary treatment model at Vinmec - where every step from diagnosis to surgery is closely coordinated and comprehensively handled.
With modern equipment such as MRI, Hybrid operating room and a team of experienced experts, Vinmec is one of the few medical facilities in Vietnam capable of performing complex major surgery with high precision.
Source: https://dantri.com.vn/suc-khoe/vinmec-central-park-gianh-lai-su-song-cho-benh-nhan-co-khoi-u-buong-trung-to-20250715095808300.htm
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