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患者,男性,36岁。因腹痛、左下腹索条状肿块、粘液血便伴纳差4个月入院。居住血吸虫病重疫区,捕鱼为业。10年前接受血吸虫病治疗1次。体检:慢性消瘦病容,肝剑突下5cm,肋下2cm,左下腹可触及5×2cm索条状肿块,表面不平,质偏硬,可动,有压痛。乙状结肠镜检见肠腔变窄,有多个突出肿块,约1.5×1cm,蒂宽。手术发现从升结肠至直肠肠壁僵直、增厚。取两处淋巴结病理检
Patient, male, 36 years old. Due to abdominal pain, left lower quadrant of the strip-like mass, mucus and blood stasis with anorexia 4 months admission. Resident schistosomiasis epidemic area, fishing industry. 10 years ago to accept treatment of schistosomiasis 1 time. Physical examination: chronic wasting disease, liver xiphoid 5cm, ribs 2cm, left lower quadrant palpable 5 × 2cm cable-like mass, surface uneven, qualitative hard, mobile, tenderness. Sigmoid colonoscopy narrowed the intestine, with multiple prominent mass, about 1.5 × 1cm, pedicle width. Surgery found that ascending colon to rectum wall stiffness, thickening. Take two lymph node pathological examination