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1病例简介患者,女,58岁,自然绝经6年。因“下腹胀痛9天,发现盆腔包块1天”入院。患者9天前无诱因出现腹胀,其后出现下腹痛,伴腰部胀痛,左腰为甚,无恶心,无腹泻便秘,无畏寒发热,无阴道流血流液,偶感尿频。入院前1天就诊泌尿外科,尿常规提示尿潜血2+,泌尿系超声提示左肾轻度积水。腹部CT平扫提示左侧肾盂肾盏略宽,子宫形态不规则并密度不均。妇科超声提示子宫后方约10cm×8cm包块,遂
1 Case Profile Patients, female, 58 years old, 6 years of natural menopause. Because of “abdominal pain for 9 days and found pelvic mass 1 day ” admission. The patient had abdominal distension 9 days before no incentive, followed by lower abdominal pain, with lumbar pain, left waist is even more, no nausea, no diarrhea constipation, no chills fever, no vaginal bleeding, occasional urinary frequency. One day before admission urology clinic, urinary urinary occult blood prompted prompt 2+, urinary ultrasound prompted mild left kidney water. Abdominal CT scan showed a slightly wider left renal pelvis, uterine irregular shape and uneven density. Gynecological ultrasound prompted the rear of the uterus about 10cm × 8cm mass, then