患者男性,55岁,因大便带血,次数增多,每日十数次,大便变细伴右下腹间歇性胀痛4个月,到乡卫生院诊治,考虑为痔疮,二月后大便带血量增多,遂到上海中山医院(?)诊,肛指检查发现直肠有一肿块,拟诊为直肠癌入院。 体检:一般情况尚可,肝睥未触及;肛指检查,膀胱截石位距肛门4 cm～5 cm,5点至10点处,触及菜花样肿块,表面不平,指套有染血。 实验室检查:大便隐血试验(+);B超:肝未见异常。 手术所见:腹腔内见少许淡黄色腹水,见左肝外叶前缘有两个约1 cm×1.5 cm左右结节,质硬,行左肝叶切除加 The patient was male, 55 years old. He had bloody stools. The frequency increased more than ten times a day. The stool became thin with intermittent pain in the right lower abdomen for 4 months. He was diagnosed and treated in the township hospitals. He considered hemorrhoids and he had bloody stools after February. The quantity increased and he went to the Shanghai Zhongshan Hospital (?) for an examination. An anal examination revealed a mass in the rectum and was diagnosed as rectal cancer. Physical examination: General conditions are acceptable, liver palpable not touched; anal examination, bladder lithotomy position 4 cm to 5 cm from the anus, 5 to 10 points, touched cauliflower-like mass, uneven surface, fingertips with blood. Laboratory tests: stool occult blood test (+); B-ultrasound: no abnormal liver. Surgical findings: A little pale yellow ascites was seen in the abdomen. See the left hepatic lobe with two nodules of about 1 cm x 1.5 cm at the front edge. Harden the left hepatectomy.