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患者男,50岁。因腹痛、腹胀、呕吐及肛门停止排便排气17小时来就诊。体格检查:急性痛苦面容,腹部略隆起,可见肠型。全腹压痛,右中腹部可触及4×5cm大小包块,无明显肌紧张及反跳痛。B超检查:腹腔内见小肠肠腔扩张,肠壁增厚,肠腔内径4.4cm,肠腔内呈液性暗区,其内见有点状浮动强回声光点。右中腹部探头横切扩张的肠腔内见3.4×2.5cm增强光团,周围低回声包绕呈“同心圆”征,纵切呈“套筒枪”征。右上腹阑尾区见6.8×3.3cm类椭圆形液性暗区,边缘光滑,
Male patient, 50 years old. Treated for 17 hours due to abdominal pain, bloating, vomiting, and anal stop defecation. Physical examination: acute pain face, abdomen slightly elevated, visible intestinal type. Abdominal tenderness, right middle and abdomen can touch 4 × 5cm mass, no significant muscle tension and rebound tenderness. B-ultrasonic examination: Intestinal cavity sees small intestine lumen expansion, thickening of the intestinal wall, intestinal cavity diameter 4.4cm, intestinal cavity was liquid dark area, which see a bit like floating strong echo spots. In the right mid-abdomen probe, the 3.4×2.5 cm light-enhancing mass was seen in the transversely dilated intestine. The surrounding hypoechoic echoes showed a “concentric circle” sign and the longitudinal incision was a “sleeve gun” sign. In the dorsal area of the right upper quadrant, ellipsoidal liquid dark areas of 6.8 x 3.3 cm are seen with smooth edges.