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1病例报告患者男,58岁。因腹痛6天来院就诊。患者自诉6天前无明显诱因出现阵发性左下腹闷痛不适,排便后腹痛稍缓解,每天排便4~6次,每次量少、呈黄色糊状、无黏液脓血便、里急后重感、恶心、呕吐等,既往体健。入院查体:左下腹轻压痛,无反跳痛及肌紧张,未触及包块。入院第1天实验室检查:白细胞计数10.96×109/L,超敏C反应蛋白24.6mg/L,中性粒细胞0.76,肝功能、凝血指标、肿瘤标志物、乙肝5项等均未见明显异常。腹部CT平扫结果显示,乙状结肠壁增厚,最厚处12mm,周围脂肪间隙模糊呈絮状改变,考虑为恶性肿瘤,伴周围脂肪侵犯。
A case report male patient, 58 years old. 6 days due to abdominal pain to the hospital. Patient complained of no obvious incentive 6 days ago, paroxysmal left lower quadrant pain and discomfort, abdominal pain after bowel relief, bowel movements 4 to 6 times a day, each less, was a yellow paste, no mucus pus and blood, tenesmus, nausea , Vomiting, previous physical health. Admission examination: left lower quadrant mild tenderness, no rebound tenderness and muscle tension, not touched the mass. The first day of hospital admission examination: white blood cell count 10.96 × 109 / L, high-sensitivity C-reactive protein 24.6mg / L, neutrophils 0.76, liver function, coagulation indicators, tumor markers, hepatitis B 5 were not obvious abnormal. Abdominal CT scan results showed that the sigmoid colon wall thickening, the thickest at 12mm, the surrounding fat gap fuzzy flocculent changes, consider a malignant tumor, with the surrounding fat violations.