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患者,男性,45岁。因腹胀、下腹隐痛,大便形状变细半个月于1984年9月6日入院。否认有畏寒、发热,粘液血便史。体检:消瘦,浅表淋巴结无肿大,心肺(一),肝脾未触及。下腹中度膨隆,隐约见肠型及蠕动波。左下腹扪及拳大肿物,表面尚光滑,无活动。肠鸣活跃。股胸位肛诊:距肛门4cm直肠前壁触及肿物下界,质中,直肠粘膜光滑,无粮液或血性液。“B”超提示:膀胱与直肠之间有一巨大肿块,其中有数个液性暗区。WBC5.7×10~9/L,N68％,L
Patient, male, 45 years old. Due to abdominal distension and lower abdominal pain, the shape of the stool became thinner and was admitted to hospital on September 6, 1984. Denies chills, fever, mucus history. Physical examination: weight loss, no enlargement of superficial lymph nodes, heart and lung (a), liver and spleen not touched. The lower abdomen is moderately bulging, with subtle intestinal type and peristaltic waves. Left lower abdomen fistula and fist mass, the surface is still smooth, no activity. Bowel activation is active. Femoral thoracic rectal examination: 4 cm from the anus, the rectum anterior wall touched the lower bound of the mass, and the mass was smooth, the rectal mucosa was smooth, and no grain or bloody fluid was found. “B” super tip: There is a huge mass between the bladder and rectum. There are several liquid dark areas. WBC5.7×10~9/L, N68%,L