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患者,男,27岁,农民,住院号39378。因上腹包块进行性肿大5月入院。查体:腹膨隆,脐上可扪及20×20×15cm 大小肿块,质硬,活动度小,无压痛,表面有结节感。肝脾未扪及,双肾区无叩痛。肛指阴性。B 超提示上腹实质性肿块20×20×15cm。钡餐造影显示 L_1～L_2范围肠道向周围推移,提示中上腹肠系膜肿块。术中发现距屈氏韧带30cm 空肠之系膜上有20×20×15cm 肿块,质硬,有假性波动感,表面呈淡红色,分叶结节状,包块活动与周围无粘连,肿块基底部与空肠系膜相连肿块极易从系膜上完整切除,未损伤系膜血管及肠管,肿块重4kg 表面有
Patient, male, 27 years old, farmer, hospital number 39378. The swelling of the upper abdominal mass was admitted to the hospital in May. Physical examination: abdominal distension, lumbosacral and 20 × 20 × 15cm size mass, hard, small activity, no tenderness, nodules on the surface. The liver and spleen were not affected and there was no pain in the kidneys. The anus is negative. B super tip prompted a solid mass of 20 × 20 × 15cm. Barium meal imaging showed that the intestinal tract in the L_1 to L_2 range shifted to the periphery, suggesting a mesenteric mass in the mid-upper abdominal region. A 20×20×15 cm mass was found on the mesangium of the jejunum 30 cm from the flexor ligament. The mass was hard, and there was a false sense of volatility. The surface was pale red, and the nodules were lobulated. The mass was no adhesion to the surrounding mass. The basal part and the jejunum mesangial mass can be completely excised from the mesangium without damaging the mesenteric vessels and the intestine. The mass of the mass is 4kg.