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患者男性,39岁,因右下腹持续性胀痛9h,发现腹内肿块入院。体检:全身浅表淋巴结不肿大,腹平软,脐右侧触及一6.0cm×5.0cm包块,表面光滑.边界清楚,较固定,有明显压痛,无巨跳痛和移动性浊音。CT检查:腹腔内平脐水平有一囊实性肿块,壁薄,其间有分隔,与腹主动脉、腔静脉粘连,下腔静脉受压。血AFP、CEA、R-HCG均正常。以“腹膜后肿瘤、苗勒瘤可能”而剖腹探查。手术时见后腹膜内、腹主动脉分叉处与肾下极间有一6.0cm×5.0cm×5.0ecm半球形囊实性
A 39-year-old male patient was admitted to the hospital with an intra-abdominal mass because of persistent pain in the right lower quadrant for 9 hours. Physical examination: The body’s superficial lymph nodes are not swollen, and the abdomen is soft. The right side of the umbilicus touches a 6.0cm x 5.0cm mass. The surface is smooth. The boundary is clear and relatively fixed. There is obvious tenderness, no giant tenderness and noisy dullness. CT examination: There was a solid cystic mass at the level of the abdominal umbilicus, and the wall was thin. There was a separation between them, adhesion to the abdominal aorta and vena cava, and compression of the inferior vena cava. Blood AFP, CEA, R-HCG were normal. With “peritoneal retroperitoneal tumor, Mullerian tumor possible” and laparotomy. The intraperitoneal, abdominal aortic bifurcation, and subrenal intervertebral space have a 6.0cm×5.0cm×5.0ecm hemispherical cystic solid.