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患者,女,52岁,因食欲不振伴腹胀痛半年入院,一年前曾有卵巢囊腺瘤手术史。体检见腹围增加,扪诊时腹壁如硬橡皮感,有轻压痛,并触及包块,腹水征(+)。B超检查腹腔内广泛无回声区中见大小不等的中低回声区,腹膜不规则增厚,拟诊为大量腹水、腹膜转移瘤。CT扫描:腹腔内充满液性低密度区,CT值略高于水,呈多囊状,其间见分隔影,增强后可见分隔状强化;同时见肝脏及脾脏表面呈波浪状扇形压迹,腹膜增厚。诊断为
The patient, female, 52 years old, was hospitalized for half an year due to loss of appetite and had a history of ovarian cystadenoma surgery a year ago. The physical examination revealed that the abdominal circumference increased. At the time of the percussion, the abdomen had a stiff rubber sensation, light tenderness, palpable mass, and ascites sign (+). B-mode ultrasound examination of the wide echo-free area in the abdominal area see the middle and low echo area of varying sizes, peritoneal irregular thickening, was diagnosed as a large number of ascites, peritoneal metastases. CT scan: The intraperitoneal cavity is filled with low-density liquid areas. The CT value is slightly higher than that of water and shows a polycystic shape. During this time, the separation pattern is seen. After the enhancement, it is seen as a separation-like enhancement. Also, the surface of the liver and spleen shows wavy fan-shaped impressions. Thickening. diagnosed as