l病例报告患者男，18岁，因右上腹持续性胀痛1月，乏力、纳差伴发热20余天，双下肢浮肿tod，由消化科转入．查体：营养不良，极度消瘦。腹部高度膨隆，胸腹壁浅静脉怒张，剑突下可相及15cmx20cm肿物，质硬，有触痛，腰背部、阴曼及双下肢高度水肿。辅助检查：总胆红素35．... l case report patient male, 18 years old, due to persistent pain in the right upper abdomen in January, fatigue, poor appetite with fever more than 20 days, double lower limb edema tod, transferred from the Department of Gastroenterology. Physical examination: malnutrition, extreme weight loss. The abdomen is highly bulging, with shallow venous engorgement of the thoracoabdominal wall. The xiphoid can be compared with a 15cm x 20cm mass, which is hard, tender and highly edema in the lower back, yinman and lower extremities. Auxiliary examination: total bilirubin 35. ...