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患者,35岁,因妇女普查中发现盆腔包块一周入院。患者平时无任何症状,饮食及大小便正常,体质消瘦10年,无腹痛及黑便史。检查:一般情况好,腹平软,未扪及包块。妇科检查:子宫正常,在子宫右前方可扪及一个男拳大小的葫芦形包块,实性质硬,表面光滑,无压痛、活动好,与子宫关系密切。化验血常规正常。B超提示:卵巢实性肿物。临床诊断:右侧附件肿物。拟手术切除,术中见子宫附件均正常,在回肠末端、肠管与系膜交界处有一浆膜下葫芦形实性肿物,约11×9×8cm~3大小,表面光滑,呈蓝
The patient, 35 years old, was found admitted to the pelvic mass one week after the census. Patients usually without any symptoms, normal diet and urine, weight loss 10 years, no history of abdominal pain and melena. Check: The general situation is good, abdominal soft, palpable mass. Gynecological examination: normal uterus in the right front of the uterus palpable and a male box-shaped gourd-shaped mass, the real hard, smooth surface, no tenderness, good activity, and closely related to the uterus. Laboratory blood normal. B-Tip: ovarian solid tumors. Clinical diagnosis: right attachment mass. Surgical resection, intraoperative see uterine attachment are normal, in the terminal ileum, intestinal and mesangial junction has a subsurface gullet-shaped solid tumor, about 11 × 9 × 8cm ~ 3 size, the surface is smooth, blue