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患者男⒙７８岁⒚于１０天前无诱因出现左下腹痛⒙无腹胀、腹泻及便血⒙无恶心呕吐⒚近２日来自觉腹胀、纳差⒚体检⑶腹膨隆⒙未见肠型及胃蠕动波⒙左下腹压痛⒙无反跳痛⒙似可触及包块⒚超声检查⑶左下腹膀胱后上方可见７２ｃｍ×４１ｃｍ大小肿块⒙形态不规则⒙边界不清?
The patient was male 18.78 years old 19. There was no cause for left lower abdominal pain 10 days ago. 18. No bloating, diarrhea, and blood in the stool 18. No nausea and vomiting. 19. Nearly 2 days from abdominal distension, anorexia 19. Physical examination (3) Abdominal bulging 18. No intestinal and gastric peristaltic waves 18. Left lower quadrant tenderness 18. No rebound tenderness 18. Appearance of palpable mass 19. Ultrasound examination (3) Upper left lower abdomen Bladder Visible above 7 2cm × 4 1cm Size lump 18. Irregular form 18. Border unclear?