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患者女,67岁。无意中发现右中腹部包块3月余,由拳头大渐增至儿头大小,无腰痛,无血尿史。发热伴右侧腹疼痛1周,于1991年5月21日入院。查体:T38.6℃,消瘦,心肺无异常。右中腹部隆起,可触及16×11cm包块,不规则,质地不均,近中线侧囊性感,外侧质偏硬,上下活动。压痛明显,左肾未触及,肾区无叩痛,输尿管行径及膀胱区无压痛。化验:Hg85g/L,WBC9.6 ×10~9/L,N78％,L22％,尿常规(一),粪便OB(一),肝肾功能正常,ESR134mm/h,尿脱落癌细胞检查三次均阴性。B超示右肾下垂并明显
Female patient, 67 years old. Inadvertently found the right middle abdominal mass in more than 3 months, gradually increased from the fist to the size of the child, no back pain, no history of hematuria. Fever with right abdominal pain for 1 week, was admitted on May 21, 1991. Physical examination: T38.6 ℃, weight loss, no abnormal heart and lung. The right middle abdomen bulge, palpable 16 × 11cm mass, irregular, uneven texture, near the midline side of the cystic sexy, lateral hard lateral, up and down activity. Tenderness, left kidney did not touch, no percussion pain in the kidney area, ureteral activity and no tenderness in the bladder area. The test: Hg85g / L, WBC9.6 × 10 ~ 9 / L, N78%, L22%, urine routine (a), faeces OB (a), liver and kidney function, ESR134mm / h, negative. B ultrasound showed right renal ptosis and obvious