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患者,女,20岁,未婚。右下腹胀痛伴腹部增大1月余。于1983年1月19日入院,既往体健。月经史:16(3/(15-30)),未次月经1983年1月16日,量少,有痛经史。体检;消瘦,腹隆,软,右下腹触及肿块,似儿头大小,镜界不清,压痛(+),肝、脾触不清,移动性浊音(+),全身浅表淋巴结未触及。肛诊:子宫无明显增大,盆腔可触及高低不平肿块,约儿头大小,质硬,活动受限,境界不清。超声波检查:下腹巨大肿块。临床诊断盆腔肿瘤。于2月7日剖腹探查,术中涌出黄色微混腹水约2,700ml,见双侧卵巢似儿头大小,表面高低不平,质硬,脆,易出血。子宫增大如孕60天,双侧输卵管增粗如拇指,肠系膜及大网膜见大片密集
Patient, female, 20 years old, unmarried. Right lower abdominal pain with abdominal enlargement more than one month. Admitted to hospital on January 19, 1983. History of menstruation: 16 (3/(15-30)), no menstruation January 16, 1983, less, with a history of dysmenorrhea. Physical examination; weight loss, abdominal hyperplasia, soft, right lower abdominal masses, like the size of the child’s head, unclear mirror boundaries, tenderness (+), liver, spleen touch is not clear, mobile dullness (+), the body’s superficial lymph nodes are not touched. Anal diagnosis: The uterus does not increase significantly. The pelvic cavity can touch uneven bumps. The size of the child’s head is hard, the activity is limited, and the state is unclear. Ultrasound examination: huge mass in lower abdomen. Clinical diagnosis of pelvic tumors. On February 7, the exploratory laparotomy revealed a yellow micro-mixed ascites of about 2,700 ml during the operation. The size of the bilateral ovary was similar to that of a child. The surface was uneven, hard, brittle, and prone to bleeding. Increased uterus, such as pregnancy 60 days, bilateral thickening of the fallopian tube such as the thumb, see the mesentery and omentum intensive