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患者男,70岁,因右上腹部疼痛20d余、时有便中带血入院。患者入院前20d余出现右上腹部,呈钝性疼痛,间断出现,时有便中带血,无恶心、呕吐、反酸、嗳气、腹胀、腹泻等。入院前1年零4个月曾确诊鼻腔恶性黑色素瘤,手术治疗2次,手术后发现骨及肺转移,1个月前CT确诊脑转移瘤。体检:一般情况尚可,左上腹可触及一约6cm×10cm的条状包快,表面不光滑,活动差,轻压痛。CT提示:腹腔左侧沿肠管走行见一不规则团状异常密度影,与
Male patient, 70 years old, due to pain in the right upper quadrant more than 20d, sometimes there will be admission to hospital with blood. 20d before admission to patients with right upper quadrant appeared blunt pain, intermittent, there will be bloody, no nausea, vomiting, acid reflux, belching, bloating, diarrhea and so on. One year and 4 months prior to admission, malignant melanoma was diagnosed nasal cavity surgery, surgery 2 times, bone and lung metastasis was found after surgery, 1 month ago CT confirmed brain metastases. Physical examination: the general situation is acceptable, the left upper abdomen can touch a strip of about 6cm × 10cm fast, the surface is not smooth, poor activity, mild tenderness. CT Tip: Abdominal cavity left along the intestine to see an irregular cystic abnormal density shadow, and