病例男,51岁,体检发现膀胱占位5天。无发热、血尿,无尿路刺激症状,否认外伤史。体格检查:双肾区未见明显隆起,无压痛及叩击痛,双侧输尿管及膀胱走行区未见明显深压痛,外生殖器正常无畸形。血、尿常规及肝肾功能等指标检测正常。二维超声检查所见:膀胱充盈好,内透声佳,壁毛糙,膀胱后壁见一类圆形略强回声团,后方伴浅声影,范围约1.7 cm×1.0 cm,似与膀胱壁相连,不随体位改变而移动;另见多枚散 Case male, 51 years old, physical examination found that the bladder occupies 5 days. No fever, hematuria, no urinary tract irritation, denied a history of trauma. Physical examination: no obvious uplift in the kidneys area, no tenderness and percussion pain, bilateral ureteral and bladder area no significant deep tenderness, normal genitalia without deformity. Blood, urine and liver and kidney function and other indicators of normal testing. Two-dimensional ultrasound findings: good bladder filling, sound good sounding inside, rough wall, the bladder wall to see a class of slightly round echo group, the rear with shallow sound, the range of about 1.7 cm × 1.0 cm, like the bladder wall Connected, do not change with the body position to move; see also more pieces scattered