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患者女,30岁。于5个月余前无明显诱因出现左下腹阵发性隐痛,症状持续时间短,可自行缓解,4个月余前发现左下腹包块,伴左下腹隐痛加重,无其余不适。腹部检查:左下腹可触及大小约70 mm×60mm包块,质韧,活动度一般,轻压痛。外院腹部超声及CT提示左侧附件区囊性包块,大小约75mm×55mm,考虑左侧卵巢囊肿可能性大;左侧输尿管下段狭窄并左肾积水,考虑盆腔囊性包块压迫所致。尿常规、肾功能等相关实验室检查均无异常。
Female patient, 30 years old. At 5 months before no obvious incentive left lower extremity paroxysmal pain, short duration of symptoms, relieve itself, more than 4 months ago I found the lower left abdominal mass, with the left lower extremity pain increased, no other discomfort. Abdominal examination: left lower abdomen can touch the size of about 70 mm × 60mm mass, quality and toughness, mobility in general, mild tenderness. Abdominal ultrasound and CT prompted the left annex area cystic mass, the size of about 75mm × 55mm, consider the possibility of left ovarian cysts large; the left lower ureter and left hydronephrosis, consider pelvic cystic mass compression . Urine, renal function and other related laboratory tests were normal.