According to the patient, 6 months ago, while lifting heavy things while working in Hai Phong, he felt pain and discovered bleeding in the anal area. He went to a hospital for examination and was diagnosed with bleeding due to hemorrhoids and bone and joint disease, and was prescribed internal medicine. However, his condition of bloody stools became more and more serious, sometimes bright red blood, sometimes dark red blood, accompanied by abdominal distension.
Mr. Q. decided to go to a large hospital in Ho Chi Minh City for examination. There, the doctors discovered that the patient had high blood pressure, type 2 diabetes and an adrenal tumor and ordered him to be hospitalized for treatment. After 10 days of medical treatment with medication, he was discharged to Khanh Hoa but his bloody stools did not improve.
At Gia An 115 Hospital, after conducting clinical and paraclinical examinations, doctors discovered that he had up to 4 tumors in his abdomen, including: a small intestine tumor (6x7cm), a mesojejunal tumor (3x4cm), a mesojejunal tumor in the terminal ileum (5x7cm), a large retroperitoneal tumor, surrounding and invading the right adrenal gland, measuring up to 10x11cm.
The tumors all have central necrosis. According to Master-Doctor Nguyen The Toan, Head of the Department of Surgery, Gia An 115 Hospital, the case of patient Q. is special because he has a small intestine tumor, a mesenteric tumor, and an adrenal gland tumor at the same time, all of which are rare diseases, difficult to detect, and dangerous. Large small intestine tumors and mesenteric tumors can lead to complications such as intestinal obstruction, mesenteric infarction, and intestinal necrosis.
In addition, prolonged tumor bleeding will cause anemia, fatigue, weakened immune system and increase the risk of other diseases.

After consultation, experts said that surgery to remove tumors is essential to protect the patient's life and health. However, this is a complicated surgery because it requires combining adrenal gland tumor removal, mesenteric tumor removal, and small intestine resection, on the basis of the patient's hypertension and type 2 diabetes. Meanwhile, adrenal gland tumors can cause blood pressure to increase suddenly during anesthesia and surgery, which if not well controlled can easily endanger the patient's life.
The surgery lasted nearly 3 hours and was successful. The patient is currently in stable condition and recovering well.
Source: https://www.sggp.org.vn/phau-thuat-cung-luc-4-khoi-u-cho-nguoi-benh-post791093.html
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