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患者女，３２岁。左下腹不规则痛３天来我院就诊。妇科检查：外阴、阴道、宫颈、子宫均正常。左附件区触及一鹅卵大之包块，活动度差，轻微压痛，右附件未触及异常。临床诊断为左附件包块。Ｂ超检查：子宫前位，大小为６．３ｃｍ×４．２ｃｍ×４．０ｃｍ，左后壁包膜不光滑，?
Female patient, 32 years old. Left lower abdomen irregular pain for 3 days to our hospital. Gynecological examination: vulva, vagina, cervix, uterus are normal. Left attachment area touched a large goose mass, poor activity, slight tenderness, the right attachment did not touch the exception. Clinical diagnosis of the left annex mass. B-ultrasound: anterior uterus, the size of 6.3cm × 4.2cm × 4.0cm, the left posterior wall capsule is not smooth ,?