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一、病例摘要患者46岁,主因“腹胀4个月,发现盆腔肿物2周”于2016年1月28日入院。患者4个月前出现腹胀、腹泻,伴发热,口服抗生素有效。1个月前出现下腹痛,抗炎效果不佳。2周前超声提示左附件区109 mm×92 mm×77 mm囊肿,血流信号丰富。瘤标正常。腹部CT提示子宫左后壁囊性占位,考虑左附件囊腺瘤?左侧肾盂及输尿管上中段扩张,遂就诊于北京大学第一医院,考虑盆腔肿物性质待查收入院。既往体健,月经规律,孕4产1,带环21年。查体:
First, the case summary of 46-year-old patients, mainly due to “bloating 4 months and found pelvic tumor 2 weeks ” on January 28, 2016 admission. Patients had abdominal distension, diarrhea 4 months ago with fever and oral antibiotics. 1 month ago, lower abdominal pain, poor anti-inflammatory effect. Two weeks ago, the left anterior attachment area showed a 109 mm × 92 mm × 77 mm cyst with ultrasound, and the signal of blood flow was rich. Normal tumor. Abdominal CT prompted the left posterior wall of the uterine cystic space, consider the left accessory cystadenoma? The left renal pelvis and ureter on the middle expansion, then visit Peking University First Hospital, consider the nature of pelvic masses to be admitted to hospital. Past physical health, menstrual patterns, pregnancy 4 1, with ring 21 years. Physical examination: