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患者,女,48岁.因腹痛12年、腹部肿块4年、血尿2次于1993年5月12日入院.患者4年前因腹部剧痛、恶心、呕吐在当地医院以肠梗阻剖腹探查,术中情况不详,但发现右腹膜后有一肿块,无法切除对症处理出院.出院后腹痛无再发作,但出现2次无痛性肉眼血尿伴腹部肿块明显增大.体检:消瘦,右侧腹部肿块突出,触之边界不清,呈囊性感,占据大部腹腔,余阴性.静脉肾盂造影右侧腹部见巨大密度增高影,边
Patient, female, 48 years old due to abdominal pain for 12 years, abdominal mass for 4 years, hematuria twice in hospital on May 12, 1993. 4 years ago due to abdominal pain, nausea and vomiting in the local hospital with intestinal obstruction exploratory laparotomy, Intraoperative situation is unknown, but found that there is a right retroperitoneal mass, can not be removed symptomatically and discharged from the hospital after discharge without recurrent abdominal pain, but there 2 times painless gross hematuria with abdominal mass was significantly increased Physical examination: weight loss, right abdomen mass Prominent, touch the border is unclear, was cystic sexy, occupy most of the abdominal cavity, more than negative.Verectal pyelography on the right side of the abdomen to see a huge increase in density, while