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患者,男性,46岁。于3月前无明显诱因出现右侧腹部隐痛,并发现有一包块,无脓血便。行消化道造影示右半结肠新生物。纤维结肠镜所见:升结肠靠近肝区肠腔狭窄,粘膜呈不规则结节状隆起,质较软,纤维结肠镜通过受阻,取活检三块,诊断为:右半结肠粘膜呈慢性炎。手术所见:升结肠中段约8×8厘米大小质硬肿物与后腹壁粘连紧密,向上与肝右叶脏面粘连紧密,肠系膜及腹主动脉旁淋巴结肿大,小肠有5处节段性环形狭窄,行右半结肠切除送检。
Patient, male, 46 years old. In March there was no obvious incentive to appear on the right abdomen pain, and found a mass, no purulent blood. Gastrointestinal angiography show right colon half new creature. Fiber colonoscopy seen: Ascending colon near the intestinal lumen stenosis mucosa irregular nodular bulge, soft quality, fiber colonoscopy through obstruction, take biopsy three, diagnosed as: right half of the colon mucosa was chronic inflammation. Surgical findings: the ascending colon of about 8 × 8 cm in size hard mass and the posterior abdominal wall adhesions close up and the right lobar visceral adhesions close, mesenteric and para-aortic lymph nodes, the small intestine has 5 segmental Ring narrow, right colon resection submission.