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患者女,56岁。发现腹部肿块4个月,逐渐增大,近二个月上腹胀满不适,于1984年4月2日入院。二年前因左上腹肿物行胃大部切除术,病理诊断:胃平滑肌瘤(腔外型)。体检:浅表淋巴结不肿大,心肺无异常。腹软,上腹可见切口瘢痕,右下腹可触及肿块,活动度较大,无压痛。B超示腹腔多发实质性肿物。钡灌肠显示结肠充
The female patient is 56 years old. Abdominal masses were found for 4 months and gradually increased, with discomfort in the abdomen in the last two months. They were admitted to hospital on April 2, 1984. Two years ago, a gastrectomy was performed on the left upper abdominal mass. The pathological diagnosis was gastric leiomyoma (outlook). Physical examination: Superficial lymph nodes are not swollen, and there are no abnormalities in heart and lungs. The abdomen is soft, the incision scar is visible on the upper abdomen, and the mass can be touched on the right lower abdomen. The activity is relatively large and there is no tenderness. B ultrasound showed multiple solid masses in the abdominal cavity. Barium enema shows colon filling