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例1 男,45岁.因右下腹部疼痛伴恶心、呕吐4小时入院.3年前因右腰部外伤、血尿,诊断为“右肾损伤”入院,经保守治疗3周好转出院.6个月后随访无不适,经大剂量尿路造影,肾、输尿管和膀胱未见明显异常.本次入院前否认外伤史.体检:右侧腹部及腰部有肌紧张和压痛.尿红细胞(++)、白细胞(++)、脓细胞(+)、尿蛋白(+),余无明显异常.入院后6小时,因局部疼痛加剧行剖腹探查,于右侧腹膜后触及—4cm×5cm肿块,切开后腹膜,吸出黄褐
Case 1 male, 45 years old due to right lower quadrant pain with nausea and vomiting 4 hours admitted 3 years ago due to right lower quadrant trauma, hematuria, diagnosed as “right kidney injury” admitted to hospital after conservative treatment for 3 weeks improved discharged .6 months After follow-up without discomfort, high-dose urography, renal, ureter and bladder no obvious abnormalities before admission to deny the history of trauma. Physical examination: right abdomen and waist with muscle tension and tenderness. Urinary red blood cells (++), Leucocytes (++), pus (+) and urinary protein (+) showed no obvious abnormalities.After 6 hours of admission, the patients were subjected to exploratory laparotomy due to local pain and to the right retroperitoneal mass of 4 cm × 5 cm After the peritoneum, suck yellow brown