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迄今未见肠系膜原发异位肾胚瘤报告,亦未见先发现肾外病灶,后发现肾内病灶的肾胚瘤。本院曾报告1例肠系膜原发异位肾胚瘤,但3年后该患者左肾又患肾胚瘤。现再报告如下。男,2岁,腹痛,发烧15小时住院。查体,腹部膨隆,左中腹压痛、反跳痛、肌紧张。可触及一8×7cm肿物,中等度硬,表面光滑,活动稍差。尿常规正常。B超为左侧腹腔90×105mm实性肿物,少量腹水,双肾形态正常。术中见血性腹水约300ml。小肠系膜上有一10×4×4cm肿物,中
No mesenteric primary ectopic nephroblastoma has been reported so far, and no renal extracranial lesions have been found. This hospital has reported 1 case of mesenteric primary ectopic nephroma, but after 3 years the patient has kidney neoplasm left kidney. Now report as follows. Male, 2 years old, abdominal pain, fever 15 hours hospitalization. Physical examination, abdominal bulging, left middle back tenderness, rebound tenderness, muscle tension. Can reach a 8 × 7cm mass, medium hardness, smooth surface, slightly less activity. Urine routine normal. B-ultrasound on the left abdominal 90 × 105mm solid tumor, a small amount of ascites, normal renal morphology. Intraoperative see bloody ascites about 300ml. Small mesenteric tumor has a 10 × 4 × 4cm, in