病例资料患者,女,46岁,因“大便不规律伴肛门坠胀感半年余”入院。入院查体:t 36.5℃,P 74次/min,BP120/80 mm Hg(1 mm Hg=0.133 kPa),R 18次/min;下腹部可见陈旧性纵行手术瘢痕,约5.0 cm长;腹壁柔软,全腹部无压痛、反跳痛及肌紧张,未触及包块,肝、脾肋下未触及,Murphy征阴性;全腹叩诊呈鼓音,肝、肾区无叩击痛,移动性浊音阴性,肠鸣音正常。血尿便常规均正常。肠镜检查示:回盲部见一巨大黏膜下新生物,呈球形,直径约 Case information Patients, female, 46 years old, due to “irregular stool with anus bulge more than six months ” admission. Admission examination: t 36.5 ℃, P 74 times / min, BP 120/80 mm Hg (1 mm Hg 0.133 kPa), R 18 times / min; old longitudinal incision scars, about 5.0 cm long; abdominal wall Soft, full abdominal no tenderness, rebound tenderness and muscle tension, did not touch the mass, liver, spleen ribs did not touch, Murphy sign negative; full abdominal percussion drum sound, liver, kidney area percussion pain, Negative, normal bowel sounds. Hematuria routine are normal. Enteroscopy showed: ileocecal see a huge submucosal new creatures, spherical, about the diameter