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例1,27岁。右下腹阵发性疼痛4d,加重1d急症入院,临床拟诊右卵巢囊肿蒂扭转。术中见右卵巢明显增大,拳头大小,系膜扭转360°行右附件切除术。肉眼所见为附有输卵管的肿块,仍保留卵巢外形,大小8×5×4cm,色苍白,被膜完整,表面光滑,质较软。切面呈实性,皮质有散在滤泡,间质弥漫重度水肿,有少量液体溢出。镜检:卵巢固有结构清晰可见。间质疏松呈网状,内含大量粉染液体,胶原纤维弯曲呈小束状。小静脉扩张、淤血。
Example 1, 27 years old. The paroxysmal pain in the right lower quadrant was 4 days. Heavily 1 day was admitted to the hospital. The diagnosis of right ovary cyst was reversed. During the operation, the right ovary was significantly enlarged, the size of the fists, and the right mesorectal resection was performed with the mesenteric torsion 360°. The naked eye is seen as a tumor with a fallopian tube. It still retains the shape of the ovary and its size is 8×5×4cm. It is pale in color, and the capsule is complete. The surface is smooth and soft. The cut surface was solid, the cortex was scattered in the follicles, the interstitium was diffuse and severe edema, and a small amount of fluid overflowed. Microscopic examination: The inherent structure of the ovaries is clearly visible. The interstitial porosity is reticulate and contains a large amount of powder-stained fluid, and the collagen fibers are bent into small bundles. Vein expansion, congestion.