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患者女性,17岁,于1月前无意中发现右上腹包块,逐渐增大,伴有右上腹疼痛不适,遂来我院就诊。查体生命体征正常,右上腹呈局限性膨隆,可触及一质硬包块,大小约18×15cm,表面尚光滑,无明显压痛。B超听见:肝脏大小形态及回声正常,胆囊被挤压、前移,右上腹探及大小约18.0×15.3×16.0cm混合性异常回声区,边界尚清,形态不规则,内壁不规整,其内见分隔样强回声光带及不规则乳头状强回声,无回声区处透声尚
The female patient, 17 years old, inadvertently discovered a mass in the right upper abdomen before January, and gradually increased, accompanied by pain and discomfort in the right upper quadrant. He came to our hospital for treatment. The physical signs of physical examination were normal, and the right upper abdomen showed localized bulging, and a hard mass was touched. The size was about 18×15 cm. The surface was still smooth and there was no obvious tenderness. B ultrasound heard: liver size and shape and echo normal, gallbladder was squeezed, moved forward, right upper abdominal exploration and size of about 18.0 × 15.3 × 16.0cm mixed abnormal echo area, the border is still clear, irregular in shape, the inner wall is irregular, its See the separation of strong echo-like light bands and irregular papillary strong echo, sound-free at the echo-free zone