患者男,40岁,工人。一天前因饮酒300ml后,突然下腹剧烈疼痛,无放射,半小时后疼痛持续,解出肉眼血尿,无尿频尿急。否认外伤史,有“肾结石”史。检查:T、P、R、BP正常。痛苦病容、腹膨隆、肌紧张,压痛,移动性浊音(+),肠鸣弱。腹部X线平片:无隔下积气、肠腔无液平,未见阳性结石。B超:腹盆腔大量积液,暗区中有细小光点,膀胱内可见无回声区,前列腺正常。下腹腔内自后向前一条索状结构,约长10cm,宽1.0cm,不规 Male patient, 40 years old, worker. A day before drinking 300ml, sudden severe abdominal pain, no radiation, half an hour after the pain sustained, solution of gross hematuria, no urinary frequency urgency. Denied the history of trauma, there is “kidney stone” history. Check: T, P, R, BP normal. Painful disease, abdominal bulging, muscle tension, tenderness, mobility dullness (+), bowel weakness. Abdominal X-ray film: no sedation gas, the intestine without liquid level, no positive stones. B super: a large number of pelvic fluid, the dark area in the small light spots, the echo can be seen in the bladder area, the normal prostate. Under the abdominal cavity since the back of a cord-like structure, about 10cm long, 1.0cm wide, irregular