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1病例简介男,54岁,主诉:左髂窝处疼痛6个月,加重2个月。半年前无明显诱因左髂窝及左下肢过电样刺痛,向左下肢放射,伴左下肢活动受限,无发热、乏力、盗汗等。既往史:因乙肝肝硬化失代偿,患者于6.5年前于武警总医院行原位肝移植术+脾切除术;术后恢复好,常规应用他克莫司(FK506)+麦考酚酸酯抗排斥治疗。体格检查:左侧髂窝、左侧臀部皮肤膨隆、肿胀,有压痛;左下肢略增粗,左下肢肌力Ⅲ级;双侧腹股沟区可触及多个短径约1.2 cm的肿大
1 Case brief Male, 54 years old, chief complaint: Left armpit pain for 6 months, increase 2 months. Six months ago, there was no obvious cause of pain in the left and right lower limbs. The left lower extremity was radiated with limited activity in the left lower extremities. There was no fever, fatigue, night sweats, etc. Past history: Hepatitis cirrhosis was decompensated. He was treated with orthotopic liver transplantation + splenectomy at the General Hospital of Armed Police 6.5 years ago; his postoperative recovery was good. Routine application of tacrolimus (FK506) + mycophenolic acid Ester anti-rejection therapy. Physical examination: left armpit, left hip skin bulging, swelling, tenderness; left lower limb slightly thickened, left lower limb muscle strength grade III; bilateral inguinal area can reach multiple short diameter about 1.2 cm swollen