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患者,男,53岁。因右腰腹部钝痛半年,伴右腰腹部包块,腹胀入院。主诉发病前无明显外伤史,发病以来无血尿及尿路刺激症状。体检:上腹部膨隆,以右上愎明显,右腰腹部可触及约18×16cm大小之不规则囊性包块,表面光滑,包块上界不清,活动度差,触痛(±),双肾区地叩痛,双下肢无浮肿。B超示双肾周围巨大液性暗区,双肾盂无积水。IVP见双肾及输尿管正常。CT提示双肾周围囊肿(见图片)。在硬膜外麻醉下行手术治疗,术中见右肾周囊肿约16×12×19cm大小,囊肿包绕全部肾脏,囊肿张力较大,放出淡黄色透明液约2000ml,肾脏色泽正常,肾盂及输尿管正常,囊腔内未发现与之相通的管腔,囊壁行部分切除并放置引液,至术后次日引流出约1000ml,为淡黄色透明液,
Patient, male, 53 years old. Due to dull pain in right and left abdomen for six months, with the right lumbar abdominal mass, abdominal distension admitted to hospital. The main complaint before the onset of no obvious history of trauma, since the onset of hematuria and urinary tract irritation. Physical examination: bulging on the upper abdomen, obvious right upper lobe, irregular abdominal mass with size of about 18 × 16cm can be touched, smooth surface, unclear mass on the mass, poor mobility, tenderness (±), double Percussion pain in the kidney area, no swelling of both lower extremities. B ultrasound showed a huge dark area around the kidneys, double renal pelvis without water. IVP see the kidneys and ureter normal. CT tips cysts around the kidneys (see picture). Surgical treatment of epidural anesthesia, intraoperative see the right kidney cyst about the size of 16 × 12 × 19cm, cysts surrounded by all the kidneys, cysts larger tension, release yellowish transparent liquid about 2000ml, normal kidney color, renal pelvis and ureter Normal, no lumen was found in the cyst, the cyst wall part of the line excision and placed cited fluid to drain the next day about 1000ml, as a light yellow transparent liquid,