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一、临床资料:男性,2岁。右侧阴囊巨大可复性肿块一年。查体:腹部明显膨隆,右侧阴囊内可见一直径约15cm卵圆形包块,透光试验(+),包块挤压或平卧后可消失。诊断为右侧腹股沟斜疝。手术所见:取右侧腹股沟疝切口,打开疝囊可见大量多房性半透明的囊性肿物通过内环口不断涌出,越牵越多,找不到尽头。从内环口向上纵形延长切口进入腹腔,可见囊性肿物源于大网膜,且布满大网腹。于胃大弯和横结肠缘将肿物完整切除后行疝囊高位结扎。切除肿物约4kg术后腹部明显塌陷。病例报告:大网膜囊肿。
First, the clinical data: male, 2 years old. Right scrotum huge recoverable mass a year. Examination: bulging abdomen, the right scrotum can be seen within a diameter of about 15cm oval mass, light test (+), mass crush or supine can disappear. Diagnosis of the right inguinal hernia. Surgical findings: take the right inguinal hernia incision, open the hernia sac visible a large number of transclinical multi-serous cystic mass through the inner mouth of the continuous pouring, more and more, can not find the end. Longitudinal extension of the incision from the inner ring into the abdominal cavity, we can see cystic tumor originated in the omentum, and covered with large belly. Large bowel and transverse colon edge of the tumor will be completely removed after the high ligation hernia sac ligation. About 4kg resection of the tumor after the abdomen was significantly collapsed. Case report: Omental cyst.