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患者,男,50岁,自幼右侧隐睾至今,无任何不适,亦未曾医治。近年来自觉右下腹可摸及之包块逐渐增大,近几日感该包块较前明显胀痛遂入院就诊。查体:右下腹可见明显膨起,触之约12cm×10cm大小,质地较硬,境界不清,位置固定很难推动,压痛(+)。阴囊左侧可触及正常睾丸,右侧未及,站立位肿块无明显变化,二便正常,育有二女一男。B超检查示:右下腹可探及一大小13.2cm×10.8cm x 9.8cm的实质低回声欠均质肿块,边界清楚但不规则(图1、2),其内下方可见一大小6.0cm×3.3cm的囊状液性
The patient, male, 50 years old, had suffered no discomfort and had not healed since childhood. In recent years, the mass from the right lower abdomen has gradually increased. In recent days, the mass has increased significantly compared with the previous mass. Physical examination: Obvious swelling in the right lower abdomen, which is about 12cm x 10cm in size, hard texture, unclear realm, difficulty in pushing the position, tenderness (+). The left side of the scrotum can touch the normal testicles, the right side is not, there is no obvious change in the standing mass, two will be normal, there are two women and a man. B-ultrasonic examination showed that the right lower abdomen can detect a substantial hypoechoic homogeneous mass with dimensions of 13.2 cm x 10.8 cm x 9.8 cm, with clear but irregular borders (Fig. 1, 2), and a size of 6.0 cm x 3.3cm cystic fluidity