患者女性,藏族,56岁。因腹部膨隆半年,伴胀痛4个月入院。查体:一般情况可,消瘦。全腹显著膨隆,从胸廓下缘至耻骨上缘可触及一完整的包块,质地中等,表面光滑,张力较大,触痛明显。腹壁皮肤紧张,无静脉曲张。B超所见:全腹均为一实囊混合性包块占据,内部回声以液性暗区为主,其内有强光带分隔,脐部可见大小不等的弧状光带形成“大囊套小套”的征象。左上腹部可见液性暗区中有形态不规则的中等强度实质性回声区。该包块包膜显示不清,后方回声明显增强。与肝脏、脾、肾及子宫等实质性脏器无关系,子宫被压迫 Patient female, Tibetan, 56 years old. Due to bulging abdomen for six months, with pain 4 months admitted to hospital. Physical examination: the general situation can be, weight loss. Significantly bulging the whole abdomen, from the thoracic margin to the upper edge of the pubic symphysis can reach a complete mass, medium texture, smooth surface, larger tension, tenderness significantly. Abdominal wall tension, no varicose veins. B seen: the whole abdomen are a solid capsule mixed mass occupied, internal echo dark liquid-based, with a strong light within the separation, the umbilical visible arc bands of varying sizes to form “large capsule Set of small sets of ”signs. Left upper abdomen can be seen in the liquid dark area with irregular shape of the medium-intensity substantive echo zone. The capsule shows unclear envelopes, echo significantly enhanced rear. And the liver, spleen, kidney and uterus and other substantive organs have nothing to do, the uterus is oppressed