{"id":1423918,"date":"2025-01-27T00:00:00","date_gmt":"2025-01-26T21:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1423918"},"modified":"2025-01-27T00:00:00","modified_gmt":"2025-01-26T21:00:00","slug":"chist-ovarian-gigant-de-6-kg-operat-cu-succes-la-arcadia","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1423918","title":{"rendered":"Chist ovarian gigant de 6 kg, operat cu succes la Arcadia"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_316789\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-316789\" loading=\"lazy\" class=\"size-medium wp-image-316789\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2026\/01\/ambrosie-lucian-300x197-1.png\" width=\"300\" height=\"197\" title=\"ambrosie-lucian-300x197-1\"><\/p>\n<p id=\"caption-attachment-316789\" class=\"wp-caption-text\">Dr. Lucian Ambrosie, medic primar Chirurgie general\u0103, Arcadia<\/p>\n<\/div>\n<p>O pacient\u0103 \u00een v\u00e2rst\u0103 de 75 de ani, din mediul rural, s-a prezentat la Spitalul Multidisciplinar Arcadia pentru un consult chirurgical, acuz\u00e2nd <strong>cre\u0219terea \u00een volum a abdomenului, dureri \u00een partea superioar\u0103 \u0219i mijlocie a acestuia \u0219i \u00eencetinirea tranzitului intestinal <\/strong>(constipa\u021bie). Prezentarea la chirurgie fusese am\u00e2nat\u0103, \u00eentruc\u00e2t simptomatologia a fost pus\u0103 pe seama altei patologii, pacienta fiind cunoscut\u0103 cu gastrit\u0103.<\/p>\n<p>La momentul <strong>examin\u0103rii,<\/strong> abdomenul era evident m\u0103rit \u00een volum. La palpare se putea sim\u021bi <strong>prezen\u021ba unei forma\u021biuni de consisten\u021b\u0103 ferm\u0103, neregulat\u0103, ce ocupa aproape \u00eentregul abdomen,<\/strong> aria respectiv\u0103 fiind mat\u0103 la percu\u021bie, ceea ce indica prezen\u021ba de lichid sau consisten\u021b\u0103 solid\u0103.<\/p>\n<p>Din <strong>analize<\/strong> s-a remarcat prezen\u021ba unei anemii moderate, f\u0103r\u0103 alte modific\u0103ri, iar consultul cardiologic nu a constatat probleme deosebite.<\/p>\n<p>S-a decis efectuarea unui <strong>examen CT,<\/strong> care a decelat <strong>prezen\u021ba unei<\/strong><strong>forma\u021biuni voluminoase chistice cu probabilitatea de a fi apartenent\u0103 la ovarul drept, cu dimensiuni de 36\/24\/18 cm,<\/strong> ce determina deplasarea \u00een sus a stomacului \u0219i colonului transvers, f\u0103r\u0103 a se putea exclude aderarea la acestea.<\/p>\n<p>\u00a0<\/p>\n<p>\u00cen aceste condi\u021bii, s-a stabilit necesitatea interven\u021biei chirurgicale, fiind propus\u0103 <strong>calea de abord deschis\u0103<\/strong> pentru a facilita extragerea forma\u021biunii \u0219i desprinderea \u00een siguran\u021b\u0103 a acesteia din aderen\u021bele cu stomacul \u0219i colonul. Interven\u021bia a durat <strong>aproximativ 60 de minute<\/strong> \u0219i s-a realizat f\u0103r\u0103 a deschide \u0219i \u00eempr\u0103\u0219tia con\u021binutul chistului \u0219i f\u0103r\u0103 alte incidente intraoperatorii. Concomitent a fost \u00eendep\u0103rtat\u0103 \u0219i trompa dreapt\u0103. Chistul a fost apoi c\u00e2nt\u0103rit \u0219i avea <strong>6 kg.<\/strong><\/p>\n<p>Dup\u0103 opera\u021bie, <strong>pacienta s-a recuperat destul de repede,<\/strong> s-a dat jos din pat \u0219i a \u00eenceput s\u0103 m\u0103n\u00e2nce chiar din ziua urm\u0103toare, descriind o senza\u021bie de eliberare. De altfel, simptomele preexistente s-au remis rapid, contribuind la \u00eembun\u0103t\u0103\u021birea evident\u0103 a calit\u0103\u021bii vie\u021bii.<\/p>\n<p>\u00a0<\/p>\n<p>Forma\u021biunea a fost analizat\u0103 la laboratorul de anatomie patologic\u0103, care a concluzionat c\u0103 este un <strong>chistadenom mucinos ovarian.<\/strong> Acesta nu este o tumor\u0103 canceroas\u0103, iar \u201emucina\u201d este produsul stratului de \u021besut care tapeteaz\u0103 chistul la interior \u0219i are aspect de fluid gros, gelatinos.<\/p>\n<p><strong>Evolu\u021bia ulterioar\u0103 a fost una bun\u0103,<\/strong> cu cicatrizarea pl\u0103gii \u0219i reluarea activit\u0103\u021bilor casnice.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Chistadenomul mucinos ovarian<\/strong><\/p>\n<p>Chistadenomul mucinos ovarian este o <strong>tumor\u0103 ovarian\u0103 benign\u0103<\/strong> (necanceroas\u0103), <strong>unul dintre cele mai \u00eent\u00e2lnite tipuri de chisturi ovariene<\/strong> \u0219i apare \u00een general la femeile \u00een perioada reproductiv\u0103, dar poate ap\u0103rea \u0219i \u00een postmenopauz\u0103.<\/p>\n<p>Are <strong>forma unui balon cu lichid, de obicei compus din mai multe compartimente umplute cu substan\u021ba gelatinoas\u0103 caracteristic\u0103 \u2013 mucina.<\/strong> Se poate dezvolta foarte mult, ajung\u00e2nd la dimensiuni de p\u00e2n\u0103 la 40 cm \u0219i greutate de c\u00e2teva kilograme. Cele mai voluminoase chisturi raportate \u00een literatura medical\u0103 au avut greutatea de 40-50 kg.<\/p>\n<p>Chiar dac\u0103 nu sunt canceroase, <strong>chisturile mucinoase ovariene nu sunt lipsite de complica\u021bii,<\/strong> de la simptome u\u0219oare de disconfort p\u00e2n\u0103 la dureri importante abdominale\/pelvine sau chiar ruptur\u0103 spontan\u0103 cu eliberarea \u00een cavitatea abdominal\u0103 a con\u021binutului gelatinos.<\/p>\n<p>Se pot pune \u00een eviden\u021b\u0103 at\u00e2t prin exemenul clinic (\u00een cazul chisturilor voluminoase), c\u00e2t \u0219i prin investiga\u021bii imagistice precum ecografie, CT, RMN. \u00cen orice caz, diagnosticul de certitudine se stabile\u0219te dup\u0103 \u00eendep\u0103rtarea acestuia \u0219i analiza la microscop (examen anatomopatologic).<\/p>\n<p>\u00cen concluzie, chistadenomul mucinos ovarian este o tumor\u0103 benign\u0103 care <strong>necesit\u0103 interven\u021bie chirurgical\u0103,<\/strong> av\u00e2nd \u00een vedere poten\u021bialul de a genera simptome abdominale importante.<\/p>\n<p>Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia.<\/strong><\/p>\n<p><a href=\"http:\/\/www.arcadiamedical.ro\">www.arcadiamedical.ro<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Lucian Ambrosie, medic primar Chirurgie general\u0103, Arcadia O pacient\u0103 \u00een v\u00e2rst\u0103 de 75 de ani, din mediul rural, s-a prezentat la Spitalul Multidisciplinar Arcadia pentru un consult chirurgical, acuz\u00e2nd cre\u0219terea \u00een volum a abdomenului, dureri \u00een partea superioar\u0103 \u0219i mijlocie a acestuia \u0219i \u00eencetinirea tranzitului intestinal (constipa\u021bie). Prezentarea la chirurgie fusese am\u00e2nat\u0103, \u00eentruc\u00e2t simptomatologia [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1423918","post","type-post","status-publish","format-standard","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1423918","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1423918"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1423918\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1423918"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1423918"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1423918"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}