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患者男,43岁。腹痛、黑便半年余,伴有发热、恶心及腹胀,无呕吐及腹泻,体重下降约15kg。体检:左侧中上腹可触及一包块,边界不清,活动度差。全身浅表淋巴结未触及肿大。血常规:白细胞10.71×109/L,中性粒细胞0.779,血小板333×109/L。腹部彩超:下腹部可探及实质不均质含气性包块(图1),大小约7.6 cm×5.9 cm,边界欠清,彩色多普勒血流显像(CDFI)、彩色多普勒能量图(CDE)示可引出动静脉频谱,RI
Male patient, 43 years old. Abdominal pain, black more than six months, accompanied by fever, nausea and bloating, no vomiting and diarrhea, weight loss of about 15kg. Physical examination: the middle of the left side of the abdomen can reach a pack, the border is unclear, poor activity. Whole body superficial lymph nodes did not touch swollen. Blood: white blood cells 10.71 × 109 / L, neutrophils 0.779, platelets 333 × 109 / L. Abdominal ultrasonography: The lower abdomen can be probed into a substantially heterogeneous gas-filled mass (Fig. 1), measuring approximately 7.6 cm by 5.9 cm in size and lacking clear boundaries. Color Doppler flow imaging (CDFI), color Doppler The Energy Map (CDE) shows the arteriovenous spectrum, RI