患者女,38岁.因腹胀一个月来院就诊.查体:心肺无异常,腹软,剑下及左上腹压疼,未扪及包块,腹水征阳性.双侧附件区压疼.B超检查:应用Aloka ssD630超声诊断仪,探头频率3.5MHz.常规腹部扫查.声像图所见:子宫大小形态正常,轮廓清楚,肌层均匀,宫腔内无异常回声,双侧卵巢明显增大,呈肾形,表面光滑,边界清晰,其内回声强弱不均,可见多个圆形无回声区(图1).腹腔内多量液性暗区,胃形态正常,边缘清楚、完整、壁层可见数个大小不等的低回声区,其中在胃底部最大4×3cm,胃腔内呈气体强回声反射(图2).B超诊断:胃癌转移卵巢(克根堡氏瘤).胃镜检查:食管及贲门光滑,血管清晰,胃底部见多个结节隆起,表面不光滑,组织硬、脆.镜下取活检5 The patient female, 38 years old, came to the hospital for abdominal distention for one month. Physical examination: no abnormalities in heart and lungs, abdominal softness, pressure under the sword and left upper quadrant, no palpable mass, ascites sign positive, bilateral accessory zone pressure pain. Check: The Aloka ssD630 Ultrasound System is used. The frequency of the probe is 3.5MHz. Routine abdominal scan. Seen on sonogram: normal uterus size, clear outline, uniform muscular layer, no abnormal echo in the uterine cavity, and obvious increase in bilateral ovary. , Kidney-shaped, smooth surface, clear boundaries, the internal echo is uneven, showing a number of round non-echo zone (Figure 1). Abdominal cavity, a large number of liquid dark areas, normal stomach morphology, edge clear, complete, wall A number of hypoechoic regions of varying sizes can be seen in the layer, of which a maximum of 4 x 3 cm is found at the bottom of the stomach, and a strong gas echo echoes in the stomach cavity (Figure 2). B-ultrasound diagnosis: Gastric cancer metastasis ovary (Kungenberg’s tumor). Gastroscopy: smooth esophagus and fontanelle, clear blood vessels, multiple nodules on the bottom of the stomach, uneven surface, hard, brittle tissue, and biopsy