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患者,23岁,已婚,停经50天,左下腹疼痛2天,加剧半天。1986年12月11日入院。1个多月前曾有一次左下腹疼痛2天,未治而愈, 检查:下腹部扪及一囊性肿物,上界在脐下2横指,下界达盆腔,左下腹有压痛。妇科检查:外阴、阴道未见异常,宫颈光滑,宫体后倾增大如孕7周,前方扪及一如孕4个月的囊性包块,可活动。B超检查:宫内妊娠,下腹液性包块7.3×19.6×17.5cm~3拟诊卵巢囊肿,尿乳胶试验阳性。剖腹探查:见子宫增大孕7周,左侧输卵管扩大为20×18×10cm~3,瘤薄色暗红,表面光滑,无粘连,以颊部为轴顺时针扭转2周,行左输卵管切除。病理诊断:左输卵管积液伴出血性梗塞。
Patients, 23 years old, married, menopause 50 days, left lower quadrant pain for 2 days, exacerbated for half a day. December 11, 1986 admission. More than one month ago had a left lower quadrant pain for 2 days, untreated and check: lower abdomen palpable cystic mass, the upper bound in the umbilical 2 horizontal refers to the lower bound of the pelvis, left lower quadrant tenderness. Gynecological examination: no vulva, vaginal anomalies, cervical smooth, enlarged palace backwards as pregnant 7 weeks, as palpable in front of 4 months of cystic mass, can be active. B-ultrasound: intrauterine pregnancy, lower abdominal fluid mass 7.3 × 19.6 × 17.5cm ~ 3 suspected ovarian cysts, urine latex test was positive. Laparotomy: see the uterus increased pregnancy for 7 weeks, the left side of the fallopian tube enlargement of 20 × 18 × 10cm ~ 3, the tumor thin dark red, smooth surface, no adhesion to the cheek axis clockwise for 2 weeks, the left oviduct resection. Pathological diagnosis: left oviduct effusion with hemorrhagic infarction.