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患者,刘××,女,22岁,左下腹肿物伴脓血便半月,腹部阵发性隐痛3天,于1995年3月15日16时入院,饮食尚可,无明显消瘦。 查体:一般情况可,心肺未见明显异常,左下腹可扪及一10×10cm大小肿物,表面不光滑质硬,活动度差,压痛,肝脾未及,肛指无异常。血、尿、肝功未见异常,大便潜血阳性。临床诊断:左下腹肿物。下消化道造影,直肠,已状结肠轮廓毛糙,肠袋结构不清,粘膜纠集呈星状。乙状结肠广泛充盈缺损,腹部包块压迫乙状结肠,降乙交界处有一环形缩窄,长约1.2cm,宽约0.7cm,钡剂仍能通过,脾曲横结肠及肝曲结肠
The patient, Liu X, female, 22 years old, had a left lower abdomen mass with pus and blood for half a month and abdominal paroxysmal pain for 3 days. He was admitted to the hospital on March 15, 1995 at 16 o’clock. The diet was fair and there was no obvious weight loss. Physical examination: In general, no abnormalities are seen in the heart and lungs. The left lower abdomen can be affected by a 10×10 cm size tumor. The surface is not smooth and hard, with poor activity, tenderness, no liver and spleen, and no anal abnormality. There was no abnormality in blood, urine, liver function, and fecal occult blood was positive. Clinical diagnosis: Left lower abdominal mass. Lower gastrointestinal angiography, rectum, the outline of the colon has become rough, the structure of the intestinal bag is unclear, and the mucosa is stellate. Sigmoid colon filling defect, abdominal mass compression sigmoid colon, falling at the junction of a circular ring with a narrow, about 1.2cm, width of about 0.7cm, tincture can still pass, splenic flexotransverse colon and liver flexor colon