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患者女,57岁,腹部有肿块达十三年,1981年3月1日入院。于十三年前,患者无意中发现左腹部脐旁有一包块,鸡蛋大小,不痛,生长缓慢。近来变快,下肢沉重,行动稍不便。查体:体温36.6℃,脉搏72次/分,血压136/80毫米汞柱。巩膜无黄染,腹股沟淋巴结不肿大,腹围90厘米。腹部膨隆,可触及30×24×10厘米大小包块,稍活动,质硬,呈分叶状,表面不光滑,无压痛,肿块表面可扪及肠袢。实验室检查:ESR21
The female patient, 57 years old, had a lump on the abdomen for 13 years and was admitted to hospital on March 1, 1981. Thirteen years ago, the patient inadvertently found a mass around the umbilicus in the left abdomen. The size of the egg was painless and slow. It has recently become faster, the lower limbs are heavier, and the action is slightly inconvenient. Physical examination: body temperature 36.6 °C, pulse 72 beats/minute, blood pressure 136/80 mm Hg. The sclera is yellow-stained and the inguinal lymph nodes are not swollen. The abdominal circumference is 90 cm. The abdomen is bulging and can touch the mass of 30×24×10 cm. It is slightly active, hard and lobulated. The surface is not smooth and there is no tenderness. The surface of the mass can be paralyzed and enterocutaneous fistula. Laboratory inspection: ESR21