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患者,女,47岁,因“二便失禁2年,发现下腹包块3个月”于1992—07—22入院,该患2年前无诱因出现二便失禁,月经异常,今年4月份发现下腹包块如妊娠5个月大。查体:体温36.5℃,脉搏80次/分,呼吸18次/分,血压16/9kPa。神志清楚,表情自然,心肺正常,肝脾未触及,腹部包块平脐。妇查:宫颈极度上牵,于盆腔内可触及囊性肿物,与子宫、附件界限不清。血象白细胞9.8×10~9/L,血红蛋白110.3g/L。B超示:盆腔囊性肿物。X线全消化道钡透:小肠及乙状结肠受压移位。入院5天后行剖腹探查。术中见左阔韧带囊肿24cm×17cm×15cm,重量3.750kg.子宫正常偏向右侧,左附件拉长变形爬行于
Patient, female, 47 years old, was admitted to hospital on July 22, 1992 due to “two incontinences for 2 years and found that the lower abdomen mass was 3 months old.” The patient was found to have two incontinence and irregular menstruation two years ago and was found in April this year Lower abdominal mass such as pregnancy 5 months old. Physical examination: body temperature 36.5 ℃, pulse 80 beats / min, breathing 18 beats / min, blood pressure 16 / 9kPa. Conscious, natural expression, normal heart and lungs, liver and spleen not touched, abdominal mass navel. Women: cervical extreme pull, can reach the pelvic cystic mass, and the uterus, annex unclear. Blood leukocytes 9.8 × 10 ~ 9 / L, hemoglobin 110.3g / L. B ultrasound showed: pelvic cystic tumor. X-ray of the whole digestive tract: small bowel and sigmoid colon pressure shift. 5 days after admission, laparotomy exploration. Intraoperative see wide ligamentum cyst 24cm × 17cm × 15cm, weight 3.750kg. Normal uterus to the right, the left attachment elongated deformation crawling on