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患者:女,12岁,蒙族,于1984年9月21日急诊入院。主诉:右下腹包块伴有排便困难及下腹部抽痛,末次月经83年7月14日(初潮)84年1月10日规律。体格检查:于左下腹部近盆腔处可触及肿物呈椭园形;境界不清,有触痛,活动不佳,腹腔未有移动性浊音。妇科检查:外阴发育正常,未产型,处女膜完整;阴道通畅,未见紫兰色结节:宫颈园型光滑,宫体幼小质中;表面光滑、活动佳;附件有侧触及15×15×10厘米大小半囊半实感,境界不清,活动不佳,左侧附件正常。诊断为
Patients: Female, 12 years old, Mongolian, on September 21, 1984 emergency admission. Chief Complaint: Right lower quadrant mass accompanied by defecation and lower abdominal pain, the last menstrual July 14, 83 (menarche) January 10, 84 law. Physical examination: in the lower left abdomen near the pelvis at palpable mass was oval; unclear, tenderness, poor activity, abdominal dullness without mobility. Gynecological examination: normal vulva development, unproductive type, complete hymen; vaginal patency, no purple-blue nodules: Palace Park smooth, uterine body mass; surface smooth, good activity; attachment side touch and 15 × 15 × Semi-real sense of half a capsule of 10 cm in size, unclear state, poor activity, left attachment normal. diagnosed as