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患者女,40岁。因“自觉右下腹包块1周”入院。既往史:孕4产2,8年前因子宫肌瘤行次全子宫切除术。体检:盆腹部可扪及大小约17 cm×10 cm×10 cm包块,质地中,无压痛,活动度可。实验室检查:CA-125:26.5U/ml。超声检查:子宫前上方见“哑铃”状囊实性不均质肿块,包膜完整,内见不规则液性暗区。MRI检查:双侧附件区见不规则肿块,大小分别约9.1cm×5.7 cm×9.5 cm和10.5 cm×10.3 cm×5.2 cm,内见分隔及坏死囊变区;增强扫描肿块明显不均匀强化,与肠
Female patient, 40 years old. Because “consciously right lower quadrant mass 1 week ” admission. Past history: Pregnancy 4 birth 2, 8 years ago due to uterine fibroids subtotal hysterectomy. Physical examination: pelvis abdomen palpable and the size of about 17 cm × 10 cm × 10 cm mass, texture, no tenderness, activity can be. Laboratory test: CA-125: 26.5U / ml. Ultrasonography: see above the uterus above the “dumbbell” shaped cystic heterogeneous mass, complete capsule, see irregular liquid dark area. MRI examination showed irregular masses in the bilateral accessory area, with sizes of about 9.1 cm × 5.7 cm × 9.5 cm and 10.5 cm × 10.3 cm × 5.2 cm, respectively. See the separation and necrotic cystic areas; With intestines