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1临床资料1例18岁女性患者,主因“渐进性腹部膨隆1年余”就诊。患者无恶心、呕吐、腹痛、腹胀等症状,大小便正常。入院查体:发育正常,意识清楚,口鼻三角区多发淡红色细小丘疹,无瘙痒及疼痛感;腹部明显膨隆,较硬,无压痛、反跳痛。血尿常规及肝肾功能未见异常。否认家族类似病史。腹部超声示:肝内见多发高回声结节,较大者位于肝右叶,直径约1.2 cm,边界清,规则,内部回声均匀(图1A);双肾
1 Clinical data A 18-year-old female patient, the main “progressive abdominal bulging more than 1 year” treatment. Patients without nausea, vomiting, abdominal pain, abdominal distension and other symptoms, normal urine. Admission examination: normal development, awareness, multiple nostril pink light small papules, no itching and pain; abdomen bulging bulging, harder, no tenderness, rebound tenderness. Hematuria and liver and kidney function no abnormalities. Denied family history of similar diseases. Abdominal ultrasonography showed multiple hyperechoic nodules in the liver. The larger one was located in the right lobe of the liver with a diameter of about 1.2 cm. The boundary was clear and regular with uniform internal echo (Figure 1A). The kidneys