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患者,女性,39岁,因右上腹痛伴肿物反复发作17年,加重2天入院。查体:心肺未见异常。腹平软,无膨隆,右中腹靠脐上压痛(+),无反跳痛,可扪及一鸡蛋大包块,质中,移动度差。肠鸣音正常。实验室检查:血常规正常,尿常规:KET Trace(+),LEU(++)。 CT显示:右上腹肝下缘内侧靠前方见一环形软组织影,有分层,呈环状,增强后有强化。肿块内有一结节致密影,周围间隙呈环状低密度,酷似“靶征”,考虑肠套叠。 结肠造影显示:回盲部充盈缓慢,结肠(盲肠)迂曲、拆迭、位置抬高,位腰2、3椎水平,活动度差,套迭
Patient, female, 39 years old, suffered from repeated episodes of right upper quadrant pain with tumor for 17 years and increased admission to hospital for 2 days. Physical examination: no abnormal heart and lung. Abdominal soft, no bulging, right middle abdomen by tenderness on the umbilicus (+), no rebound tenderness, palpable egg mass, mass, poor mobility. Bowel sounds normal. Laboratory tests: normal blood, urine routine: KET Trace (+), LEU (++). CT showed: the right upper quadrant of the lower edge of the liver by the front of a ring of soft tissue see a shadow, a ring, enhanced after enhanced. There is a nodules dense mass within the tumor, the ring around the gap was low density, resembles the “target sign”, consider intussusception. Colonic angiography showed that the ileocecal part was filled slowly, the colon (cecum) was tortuous, disassembled, the position was raised, the position of the waist was 2 and 3 vertebra, the activity was poor,