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女性,3岁。入院前3天因驱蛔后突发剧烈腹痛,解稀便2次,排出蛔虫1条,在当地按“胃病,肠蛔虫”治疗,腹痛未缓解,故转我院。查体:T37.3℃,P118/min,R24/min,肠鸣音弱,下腹部可扪及拳头大囊性包块,欠活动,X片示肠腔充气明显,右下腹可见数个液平,稀钡灌肠见结肠通畅;B超示右下腹膀胱右侧有4.5cm×4.5cm圆形无回声区,边界清楚,壁厚,后壁回声增强。即在全麻下行剖腹探查术,术中见子宫右侧有10cm×10cm×8cm紫黑色囊性包块与附件相连,囊肿蒂较长,逆时针扭转360°,阑尾缠入其中,并发黑坏死,手术切除囊肿及阑尾,病理报告为右侧卵巢成熟性囊性畸胎
Female, 3 years old. 3 days before admission because of sudden severe abdominal pain after driving roundworm, solution dilute 2 times, 1 roundworm excretion, according to the local “stomach, intestinal roundworm” treatment, abdominal pain did not ease, it transferred to our hospital. Physical examination: T37.3 ℃, P118 / min, R24 / min, bowel sounds weak, palpable lower abdomen and fist cystic mass, owed activity, X-ray showed obvious intestinal inflatable, right lower quadrant can see a number of liquid Flat, thin barium enema see the colon patency; B ultrasound shows the right lower quadrant bladder right 4.5cm × 4.5cm circular anechoic area, clear boundary, wall thickness, posterior wall echo enhancement. That underwent laparotomy under general anesthesia, surgery, see the right side of the uterus, 10cm × 10cm × 8cm purple cystic mass attached to the annex, the cyst pedicle longer, 360 ° counterclockwise twist, appendix entangled and black Necrosis, surgical removal of the cyst and appendix, the pathological report of the right ovarian maturity cystic teratogenesis