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患者26岁,孕3产1.因痛经多年,加重1年,检查发现盆腔肿块于1987年9月8日入院.5年前曾行剖育产术.妇检:外阴正常、阴道畅、宫颈光滑,子宫中位正常大小、质韧,子宫右上方可扪及成人手拳大小囊实相间之包块,与子宫不能完全分开,活动差,轻度触痛,左附件无异常.B 超提示盆腔肿物,畸胎瘤可能性大,卵巢巧克力囊肿不能除外.初诊为子宫内膜异位症,卵巢巧克力囊肿.于入院第6天行剖腹探查术.术中见子宫正常大小,子宫下段见剖宫产切口疤痕,左侧附件正常.子宫右侧见如孕7周大小宫体,
Patients 26 years old, pregnant 3 1. Due to dysmenorrhea for many years, increased 1 year, check the pelvic mass examination was admitted to hospital on September 8, 1987. 5 years ago had dissection .Summary: normal vulva, vagina, cervix Smooth, the normal median size of the uterus, quality and toughness, the upper right uterus palpable adult hand fist size capsule between the solid phase of the mass, and the uterus can not be completely separated, poor activity, mild tenderness, left attachment without exception. Pelvic masses, the possibility of teratoma, ovarian chocolate cyst can not be excluded .New diagnosis of endometriosis, ovarian chocolate cyst .In the hospital on the 6th day of laparotomy exploration surgery see the normal size of the uterus, the lower uterus see Cesarean section incision scar, left attachment normal uterus see if pregnant 7 weeks the size of the body,