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患者,男,34岁。1972年曾因无痛性血尿5年,以右肾肿瘤收入院。在硬膜外麻醉下行右肾切除术术后病理诊断为右肾乳头状囊腺瘤。患者术后恢复正常生活。 1989年,患者无意中发现腹部包块,无疼痛不适,无血尿。体检:心、肺正常,腹部平坦,右上腹部有“7”形手术疤痕,腹肌软。脐右侧可扪及10×9cm包块,表面光滑,质硬,固定,无明显触痛。腹部无移动性浊音。B超示腹主动脉旁囊性病变。入院诊断:腹膜后肿瘤。同年4月14日在硬膜外麻醉下剖腹探查,见腹腔无腹水,沿腹膜后右输
Patient, male, 34 years old. 1972 due to painless hematuria for 5 years, to the right kidney cancer hospital. Right epidural anesthesia in the right nephrectomy pathology diagnosis of right renal papillary cystadenoma. Patients return to normal life after surgery. In 1989, patients unintentionally found abdominal mass, no pain and discomfort, no hematuria. Physical examination: heart, lungs normal, flat belly, right upper abdomen with “7” -shaped surgical scar, abdominal muscle soft. Palpable on the right side of the navel and 10 × 9cm mass, the surface is smooth, hard, fixed, no obvious tenderness. No dull abdominal movement. B ultrasound showed abdominal aortic cystic lesions. Admission diagnosis: retroperitoneal tumor. April 14 the same year under epidural anesthesia under laparotomy, see no intraperitoneal ascites, right retroperitoneal