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例1,32岁。自幼发现下腹正中有核桃大的包块。进入青春期未来月经,周期性下腹疼,严重时伴有恶心呕吐。婚后性交困难。体检:妇科检查外阴发育好,阴道下段短浅。肛诊盆腔内有9×8×7cm 的囊性包块,活动差,无明显压疼。B 超提示盆腔左侧多房性囊性包块。拟诊:①先天性无阴道。②子宫积血。③左侧卵巢肿瘤?剖腹探查:子宫3×2×1cm,左侧包块10×8×8cm,右侧附件正常。术后病理报告慢性炎性包块,未见卵巢组织。病人治愈出院。
Cases of 1,32 years old. Found in the middle of the lower abdomen with walnut large mass. Into adolescence future menstruation, periodic lower abdominal pain, severe nausea and vomiting. Sexual difficulties after marriage. Physical examination: gynecological examination of the vulva developed well, the next paragraph short vagina. Anal pelvic 9 × 8 × 7cm cystic mass, poor activity, no significant tenderness. B ultrasound prompt pelvic left multilocular cystic mass. To be diagnosed: ① congenital absence of vagina. ② uterine hemorrhage. ③ left ovarian cancer? Laparotomy: uterus 3 × 2 × 1cm, left mass 10 × 8 × 8cm, the right attachment is normal. Postoperative pathology chronic inflammatory mass, no ovarian tissue. The patient was cured and discharged.