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患女,40岁。以左下腹痛10d,加重伴发热2d于1998年2月18日入院。患者既往体健,无急慢性胃肠道病史。查体:T38.1℃,BP16/11kPa,心肺听诊无异常。腹软,右下腹压痛(+),无反跳痛,下腹正中有拳头大小包块,质软,境界不清,移动性浊音(-)。妇科检查:子宫后位,于子宫前方有一10cm×10cm×6cm之包块,质活动欠佳,压痛(+),与子宫关系密切。左附件区有压痛。实验室检查WBC10.2×10~9/L,N0.76,L0.24。B超显示:子宫正常
The girl is 40 years old. He was admitted to hospital on February 18, 1998 with a left lower abdominal pain of 10 days and aggravated fever 2 days. The patient was physically healthy and had no history of acute or chronic gastrointestinal disease. Physical examination: T38.1°C, BP16/11kPa, no abnormality in cardiopulmonary auscultation. Soft abdomen, right lower quadrant tenderness (+), no rebound tenderness, lower abdomen middle fist-size mass, soft, unclear state, shifting dullness (-). Gynecological examination: After the uterus, there is a mass of 10cm×10cm×6cm in front of the uterus. Its quality is poor, tenderness (+), and it is closely related to the uterus. There is tenderness in the left attachment area. Laboratory tests WBC 10.2 × 10~9/L, N0.76, L0.24. B-show: normal uterus