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患者男,37岁。因间断性腹痛(脐周为主)1个月于2010年4月20日入院。体查:脐周压痛,脐周可触及肿块,可推动,大小及边界触摸不清;左侧锁骨上和右侧腋窝分别触及肿大淋巴结1枚,分别为3 cm×4 cm和2 cm×2 cm大小,质硬,移动度差,无压痛、红肿和破溃。腹部立位平片和全消化道碘水造影显示不完全小肠梗阻,右下肺占位。CT显
Male patient, 37 years old. Due to intermittent abdominal pain (mainly umbilical) 1 month on April 20, 2010 admission. Physical examination: umbilical tenderness, umbilical weeks palpable mass, can promote the size and border touch unclear; on the left side of the supraclavicular and right axillary palpable lymph nodes were 1, respectively, 3 cm × 4 cm and 2 cm × 2 cm in size, hard, poor mobility, no tenderness, swelling and ulceration. Abdominal plain film and the whole digestive tract iodine water contrast shows incomplete intestinal obstruction, right lower lung occupancy. CT significant