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患者,女,51岁。3个月前无诱因出现下腹胀痛,呈阵发性,始于左上腹。在当地医院诊为“胃炎”给予药物治疗,效果欠佳;近2月月经量明显减少,周期不变,体重明显下降,故来院就诊。查体:一般状况可,心肺(一)。肝脾肋下未触及。下腹膨隆,可扪及一巨大包块,上极平脐下二指,质硬,活动可,压痛,无移动性浊音。妇科检查:子宫水平位,2月妊娠大小,表面不光滑。右附件区触及一囊实包块,约11cm×10 cm×9 cm;有压痛,可活动,与子宫不易分开;
Patient, female, 51 years old. 3 months ago, no incentive to lower abdominal pain, paroxysmal, began in the left upper quadrant. In the local hospital diagnosed as “gastritis” to give medical treatment, the effect is not good; nearly 2 months menstrual volume was significantly reduced, the same cycle, weight decreased significantly, so came to the hospital. Physical examination: the general situation can be, cardiopulmonary (A). Liver and spleen ribs untouched. Abdominal bulging, palpable and a huge mass, under the flat umbilical two fingers, hard, activity can be, tenderness, no mobility dullness. Gynecological examination: uterine level, size of February pregnancy, the surface is not smooth. Right attachment area touches a capsule, about 11cm × 10cm × 9cm; tenderness, activity, and the uterus is not easy to separate;