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病例资料患者,女,47岁。下腹疼痛伴腹泻8年,疼痛呈阵发性,且以右下腹为甚,无大便变细、次数增多等性状改变,无里急后重、便血、便秘、肛门坠胀感,既往体健。临床检查:下腹压痛,以右下腹为甚,无反跳痛,腹部未扪及明显肿块。CT平扫:肝囊肿;盆腔积液;回盲部内壁略示增厚,周围可见多发软组织小结节影,印象为回盲部占位,肿瘤可能性大,见图1。彩超:肝囊肿,回盲部软组织肿块,不排除肿瘤。
Case information patients, female, 47 years old. Abdominal pain with diarrhea 8 years, the pain was paroxysmal, and the right lower quadrant is even more, no stool thinner, the number increased and other traits change, no tenesmus, blood in the stool, constipation, anus bulge, previous physical health. Clinical examination: abdominal tenderness, to the right lower quadrant is even more, no rebound pain, abdomen palpable mass. CT scan: hepatic cysts; pelvic fluid; ileocecal wall slightly thickening, multiple soft nodules around the visible shadow, the impression of the ileocecal portion, the possibility of tumor, shown in Figure 1. Color Doppler ultrasound: liver cysts, ileocecal soft tissue mass, does not rule out the tumor.