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患者女,36岁。右下腹包块一年余,近三个月迅速增大伴下坠感,于1974年3月30日入院。患者一年前第二胎产后,于右下腹发现一肿块,核桃大小,平卧或以手压之可还纳,以后包块逐渐增至手拳大。入院前一个月,自觉突然有一物落到包块之中,局部隐痛,肿块已不能还纳。同时感到肿块内有活动,并继续增大,入院前已有排球大小。1973年10月停经,但无任何反应,生育史孕:产_2。检查:腹平软,自右腹股沟区和会阴向下有29×20×22cm之椭圆形肿物,站立时肿块下缘达大腿中下1/3,整个包块扪之中等硬度。触诊时觉内部有活动感,包块不能还纳。肿块听诊未闻及明显音响。妇科
Female patient, 36 years old. Right lower quadrant mass more than a year, nearly three months increased rapidly with a sense of falling, in March 30, 1974 admission. Patient a year ago after the second child was born, found a lump in the right lower quadrant, walnut size, supine or hand pressure can be satisfied, after the mass gradually increased to hand punch big. One month before admission, I suddenly felt a sudden fall into the mass, local pain, the mass can not be returned. At the same time there are activities within the mass, and continue to increase, volleyball size before admission. October 1973 menopause, but no response, fertility history pregnancy: birth _2. Check: abdominal soft, down from the right groin area and the perineum 29 × 20 × 22cm elliptical mass, standing lower thigh when the lower third of the middle and lower thigh, the entire mass palpable middle hardness. Palpation feel inside the activity, mass can not be satisfied. Mass auscultation has not heard and significant sound. Gynecology