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患者男 ,45岁 ,因右上腹部隐痛不适 2年、触及右上腹部包块 3周前来就诊。查体 :肝脾未触及 ,右上腹腹直肌旁、肋下 3ｃｍ处深压可触及一个约5 0ｃｍ× 5 0ｃｍ大小的圆形包块 ,质中 ,表面光滑 ,轻度压痛 ,无明显移动 ,右肾叩击痛阳性。超声检查 :在肝右叶下方、右肾下极前方
Male, 45 years old, suffered from pain and discomfort in the right upper quadrant for 2 years and touched the upper right abdomen for 3 weeks. Physical examination: liver and spleen not touched, next to the right upper quadrant rectus abdominis, 3cm under the deep rib can reach a round about 50cm × 50cm size of the mass, the surface smooth, mild tenderness, no significant movement Right kidney percussion pain positive. Ultrasonography: below the right lobe of the liver, right anterior inferior pole