Doctors at the Central Obstetrics and Gynecology Hospital received a particularly serious case: Patient N.N.K (10 years old) was admitted to the hospital in a state of high fever of 39°C, severe abdominal pain, severe fatigue, abdominal distension, and obvious signs of systemic infection.
According to the medical record, two days before being admitted to the hospital, the child developed abdominal pain and was taken by his family to a private clinic near his house for examination. Here, the child was found to have an ovarian tumor and was punctured and aspirated about 100ml of fluid from the tumor.
However, after intervention, the patient's condition did not improve but deteriorated very quickly. The child had a continuous high fever, abdominal pain gradually increased, was very tired, and obvious signs of infection appeared. The family was forced to take the child to Thai Binh Obstetrics and Gynecology Hospital, and then urgently transferred to the Central Obstetrics and Gynecology Hospital.
At the Central Obstetrics and Gynecology Hospital, after clinical examination and necessary tests, doctors determined that this was no longer a simple ovarian tumor. The patient was diagnosed with spiral ovarian tumor, and was monitored for infection after puncture intervention at a private medical facility.
In this context, the patient's ovaries are facing the risk of prolonged ischemia, rapid necrosis progression. At the same time, the infection can spread, causing danger to life if not treated promptly.
The patient was transferred to the Department of Obstetrics and Infections for intensive internal medicine treatment with broad-spectrum antibiotics, fever reduction, infection control and close monitoring for 48 hours to stabilize the overall condition before surgical intervention.
The case was brought to a deep professional consultation. Ultrasound results showed a spiral ovarian tumor, about 10cm in size, with a very high risk of necrosis.
This is a particularly difficult situation because the patient is only 10 years old, the reproductive organs are still developing, the surgical site is small, and any intervention potentially poses a long-term risk to future fertility.
Endoscopic surgery helps reduce invasion but requires very high techniques; while open surgery is a heavy choice for a young patient. Doctors must carefully consider each option, with the highest goal: Thoroughly treating the disease but preserving the ovaries and uterus for the child to the maximum.
When approaching the abdominal cavity, doctors recorded an ovarian tumor about 10–15cm in size, twisted in a circle, dark purple, with many pseudomembranes and large connective membranes attached, with obvious signs of necrosis. This is the cause of prolonged pain and severe infection for the patient.
After many hours of high concentration, the surgery was successfully completed. The patient was out of danger, her reproductive organs were preserved and continued to be monitored for recovery after surgery.
