患者,男,52岁。农民,江苏徐州人,因上腹部缓慢增大包块3年余入院。患者3年前,无意中发现在左腹部一拳头大小包块,无任何不适,不影响饮食、睡眠、大小便及劳动,故未曾就诊。包块逐渐长大,如足球大小,除有少许挤压感外,无其他不适。一般情况可,皮肤、毛发、粘膜、淋巴均正常;头颅、五官、颈胸及四肢未见异常。腹部明显膨隆,无腹壁静脉曲张,无移动性浊音,左上腹扪及一巨大囊性包块,移动性差,无触压痛。入院后血、尿粪、生化、肝功等检查均系正常。B超检查示:肝、脾、胆囊、门静脉均系正常,胰头显示尚清,主胰管不宽,整个腹腔被足球大小囊性包块充拒,壁光滑,右肾正常,左肾显示不清。考虑:腹腔巨大囊性包块,来自胰腺可能性大。CT扫描示:左侧腹腔内巨大占位,最大截面约17cm×20cm,上下达25个层面 Patient, male, 52 years old. Farmers, Xuzhou, Jiangsu, due to slowly increase the upper abdomen mass 3 years admitted. Patient 3 years ago, inadvertently found in the left abdomen a fist size of mass, without any discomfort, does not affect the diet, sleep, urine and labor, it is not treated. Mass gradually grew up, such as football size, in addition to a little squeeze flu, no other discomfort. In general, the skin, hair, mucous membranes, lymph are normal; no abnormalities in the head, facial features, neck and chest and limbs. Significant bulging abdomen, no abdominal varicose veins, no shifting dullness, left upper abdomen palpable a huge cystic mass, poor mobility, no tenderness and tenderness. After admission, blood, urine, biochemical, liver function tests were normal. B ultrasound examination showed: liver, spleen, gallbladder, portal vein are normal, the head of the pancreas is still clear, the main pancreatic duct is not wide, the entire abdominal cavity was filled with football-sized cystic mass rejection, the wall smooth, the right kidney is normal, the left kidney shows Unclear Consider: a huge cystic mass in the abdominal cavity, the possibility from the pancreas. CT scan showed: a huge left abdominal mass, the largest section of about 17cm × 20cm, up and down up to 25 levels