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患者男性,52岁,因右上腹胀痛四年,以“胰腺囊肿”入院。既往有“急性胰腺炎”史。体查:右上腹深度压痛,上腹扪诊有饱满感,似有一边界不清、固定包块。化验:抗—HBe阳性。B超提示:肿物位于脊柱右侧,腹主动脉右旁,腔静脉前方。增强CT扫描示“下腹部囊性肿物,多起自肠系膜,且多为良性病变,肝右叶多发性小肿物”。肝、睥、胰、肾及肾上腺声像图无异常。静脉肾盂造影示:双肾及肾盂、肾盏形态及位置正常。
The patient was male, 52 years old, admitted to hospital with “pancreatic cyst” because of right upper quadrant pain for four years. There has been a history of “acute pancreatitis”. Physical examination: The depth of tenderness in the right upper quadrant is full, and there is a feeling of fullness in the upper abdominal percussion. It seems that there is an unclear boundary and a fixed mass. Laboratory tests: Anti-HBe positive. B-tip: The mass is located on the right side of the spine, right side of the abdominal aorta, and in front of the vena cava. The enhanced CT scan showed “lower abdominal cystic masses, mostly from the mesentery, and mostly benign lesions with multiple small masses in the right lobe of the liver.” There were no abnormalities in the sonograms of liver, palate, pancreas, kidney, and adrenal glands. Intravenous pyelogram shows: the kidneys and renal pelvis, renal pelvis form and position normal.