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病例摘要:患者王××,33岁。于1986年4月1日以下腹部肿物8年余收入院。8年前无意中发现下腹偏右有一鸡卵大肿物,活动,无压痛、未诊治。此后孕娩3次,初产25岁,末产于两个月前。每次分娩经过顺利。从无恶心、呕吐及慢性腹痛症。检查:一般情况好,心肺正常。外阴经产型,阴道通畅,宫颈光,子宫水平位,正常大小,质软。子宫右上可触及一约7×8×9厘米囊性肿物,可推至中腹部,与子宫无牵连,无压痛。当时考虑为卵巢肿物或肠系膜肿瘤。于4月4日在持续硬膜外麻醉下施术。术中探查:子宫4×5×7厘米大小,质软。右侧输卵管长7厘米,右卵巢外观正常,约2×4×5厘米大小。
Case Summary: Patient Wang × ×, 33 years old. In April 1, 1986 the following abdominal tumor more than 8 years income hospital. 8 years ago inadvertently found a right lower quadrant right a chicken egg mass, activity, no tenderness, no diagnosis and treatment. After three pregnancies, primiparous 25 years old, the end of two months ago. Each childbirth passed smoothly. From no nausea, vomiting and chronic abdominal pain. Check: The general situation is good, normal heart and lung. Vagina by type, vaginal patency, cervical light, uterine level, normal size, soft. Right upper uterus can reach about a 7 × 8 × 9 cm cystic mass, can be pushed to the middle abdomen, no involvement with the uterus, no tenderness. At that time considered as ovarian tumor or mesenteric tumor. On April 4 under continuous epidural anesthesia. Intraoperative exploration: Uterus 4 × 5 × 7 cm in size, soft. The right fallopian tube length 7 cm, the right ovary normal appearance, about 2 × 4 × 5 cm in size.