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1 病例报告患者女,34岁。因下腹胀伴腹痛半月入院。查体:子宫前位。略增大。中等硬度,活动度差,无压痛。左附件区触及手拳头大肿物,右附件区触及超手拳头大肿物,均质硬,活动差,无压痛。腹部移动性浊音(+)。B超提示:盆腔占位性病变,子宫肌瘤,腹水。行剖腹探查术,术中见腹腔内有血性腹水约2500ml,大网膜、小肠系膜及结肠脂肪垂布满大小不等的淡红色肿物。宫体鹅卵大小,质硬,形状不规则。左卵巢见手拳头大肿物,表面光滑,质硬,右卵巢稍大。
1 Case report Female patient, 34 years old. Due to abdominal distension and abdominal pain, she was admitted to the hospital half a month. Physical examination: Anterior uterus. Slightly increased. Medium hardness, poor activity, no tenderness. The left attachment area touched a fist with a large mass, and the right attachment area touched a super hand with a large mass, homogeneous hard, poor activity, and no tenderness. Abdominal movement dullness (+). B-ultrasound: Pelvic space-occupying lesions, uterine fibroids, ascites. The exploratory laparotomy was performed. During the operation, bloody ascites in the abdominal cavity was approximately 2500 ml. The pale omentum, small mesenteric and colonic fats were covered with pale red masses of various sizes. Palace eggs size, hard, irregular shape. The left ovary saw a large fist mass, a smooth surface, a hard body, and a slightly larger right ovary.