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患者,女,48岁.因上腹饱胀不适半年入院.体检:腹部略饱满,右侧腹部扪及一较大肿块,边界不清,质软,表面光滑,无压痛,欠活动,无血管杂音.双肾区无叩痛.血、尿常规均正常.B超提示:右侧腹部巨大囊性肿块.排泄性尿路造影;①右侧腹部巨大肿块;②交叉肾.在硬膜外麻醉下行剖腹探查术,术中见右侧腹膜后有一囊肿,30cm×20cm×15cm,上至右肝后,下达右髂窝,外侧紧贴右侧腹壁,内侧位于脊柱右前方,表面无明显血管增生,右肾被推至脊
Patient, female, 48 years old, admitted to hospital for six months due to fullness in the upper abdomen Physical examination: the abdomen is slightly full, the abdomen is palpable with a larger mass, the border is unclear, soft, smooth and tender, owes no activity, Murmur.No percussion pain in the renal area.Hydrogram and urine routine are normal.B ultrasound tips: a huge cystic mass on the right abdomen.Excretion of urinary tractography; Down laparotomy, intraoperative see the right retroperitoneal cyst, 30cm × 20cm × 15cm, right to the right liver, issued right iliac fossa, lateral close to the right abdominal wall, the medial right front of the spine, the surface without significant vascular proliferation , The right kidney is pushed to the ridge