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患者女性,12岁,以左下腹递增性包块一年、腹胀四月来院就诊.体格检查:腹部极度膨隆,腹围35cm,腹式呼吸消失,腹壁浅静脉不曲张,无蜘蛛痣,全腹无压痛,包块占据整个腹腔,界线不清,腹部叩诊除两侧为鼓音外,余均呈浊音,肝浊音界存在但位置明显上移,常规化验及生化测定无异常.B超检查:腹部可探及28.8×12.7cm囊性肿块,境界清晰、包膜厚约0.6cm,不光滑,内部呈无回声伴密集的细弱光点随体位改变缓慢移动,并可见每个分隔回声,且房腔大小不一,后方回声不明显,该肿块将上腹部脏器向上方推移至膈肌明显抬高,肠管均被挤压至腹后壁,双肾形态正常但均被推向后上方.子宫被推向右盆壁.超声提示:左侧巨大卵巢粮液性囊腺瘤.手术所见:包块占据左侧腹腔,包膜完整,壁
Patient, 12 years old, admitted to the hospital for ascending left lower quadrant for one year with abdominal distension in April Physical examination: extreme bulging abdomen, abdominal circumference 35 cm, disappearance of abdominal respiration, superficial veins without varicosity, no spider nevus, No tenderness, mass occupy the entire abdominal cavity, the boundary is unclear, except for both sides of the percussion drums sounding, I were voiced, liver voiced sound sector but the location was significantly shifted, routine laboratory tests and biochemical tests were normal.B ultrasound examination: The abdomen can be explored and 28.8 × 12.7cm cystic mass, the realm of clear, the coating thickness of about 0.6cm, not smooth, the internal echo-free dense dense spot of light with the body position changes slowly moving, and can see each separate echo, and the room Cavity size varies, the back of the echo is not obvious, the mass of the upper abdominal organs will be pushed up to the diaphragmatic muscle was significantly elevated bowel were squeezed to the ventral posterior wall, both kidneys normal shape but were pushed back above the uterus Push to the right pelvic wall .Ultrasonic hint: the left huge ovarian food liquid cystadenoma .Surgical findings: mass occupies the left abdominal cavity, complete capsule, wall