A 44-year-old woman from Ho Chi Minh City visited the Obstetrics and Gynecology Department of Hoan My Sai Gon Hospital after noticing that her abdomen had been enlarging abnormally over time, despite experiencing no pain or discomfort.

The patient, identified as Ms. N.M.T. (born in 1981), presented with a markedly enlarged abdomen without any pain. Through clinical examination and diagnostic imaging, doctors detected multiple abnormal masses in the abdominal cavity, including a large mass in the lower abdomen measuring approximately 12 × 10cm, extending up to the umbilicus. The mass was firm in consistency and showed limited mobility.

Notably, the patient had undergone total laparoscopic hysterectomy 13 years earlier, with both ovaries preserved. This medical history prompted the medical team to carefully consider differential diagnoses and formulate a meticulous treatment plan.

Doctor examining the patient

Accurate Diagnostic Process and Surgical Management

The patient underwent a series of necessary diagnostic procedures, including MRI scanning, laparoscopy, and biopsy. Results confirmed that the lesions were benign abdominal fibroid tumors.
Following a multidisciplinary consultation, surgeons proceeded with multiple tumor resections, removal of the greater omentum, right adnexa, and left fallopian tube, along with excision of the large lower-abdominal mass.

The surgery was performed successfully, with complete removal of all tumors. Postoperatively, the patient recovered well, resumed normal eating, showed stable wound healing, and was discharged after one week of hospitalization.

“The most critical factor in this case was accurate preoperative diagnosis, achieved through the integration of laboratory tests, imaging studies, and multidisciplinary consultation. This allowed the surgical team to choose the safest and most optimal treatment approach for the patient,” shared Specialist Level I Dr. Bui Duc Lam, Head of the Obstetrics Department at Hoan My Sai Gon Hospital, who directly treated the patient.

According to Dr. Lam, patients with a history of prior abdominal or pelvic surgery face a higher risk of tissue adhesions, requiring surgeons to have extensive experience and meticulous surgical technique. Thanks to the close coordination between the surgical team and the anesthesia and intensive care unit, the procedure was carried out safely and effectively, achieving excellent outcomes.

Importance of Regular Screening and Follow-Ups

Although pathological results confirmed the tumors were benign and had been completely removed, there remains a 1–2% risk of recurrence. Therefore, the patient is advised to undergo follow-up examinations every six months for early detection of any abnormalities.

Uterine fibroids are a common condition, affecting approximately 20% of women of reproductive age. Many cases progress silently without obvious symptoms until the tumors grow large.

Dr. Lam also recommends that women of reproductive age (20–40 years) proactively schedule gynecological check-ups every 6–12 months. Regular screening enables early detection, simpler treatment, faster recovery, and reduces risk of complications, ultimately contributing to a better quality of life.

With a team of experienced specialists supported by modern medical equipment, the Obstetrics and Gynecology Department of Hoan My Sai Gon Hospital is committed to providing comprehensive women’s healthcare services – from consultation, screening, and regular monitoring to the treatment of gynecological diseases, fibroids, ovarian tumors, pregnancy management, and advanced obstetric and gynecological surgeries.

Gynecological health plays a vital role in women’s physical well-being, mental health, and overall quality of life. If you notice any unusual abdominal changes or gynecological symptoms, please contact the Obstetrics and Gynecology Department of Hoan My Sai Gon Hospital at (028) 3990 2468 for timely consultation and care.