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患者,女性,22岁。腹部肿块15年于1991年8月30日入院。患者7岁时其家人触及腹部包块似拳头大小,到当地医院诊治,动员手术治疗,未遵医嘱。近来自觉肿块增大迅速,要求手术治疗来院。月经15岁初潮,规则。已婚1周未孕。体检:一般情况佳,心肺正常,腹部膨隆,似孕足月,质较硬,左上腹有突起块物,活动差,无压痛。妇检:宫颈光,宫体后位,大小正常,活动,无压痛,右侧附件及整个盆腔内可及肿块,上界达剑突下,质硬,无
Patient, female, 22 years old. Abdominal mass 15 years in August 30, 1991 admission. At age 7, his family touched the abdomen-like fist-sized fist and went to a local hospital for treatment and mobilization, and did not follow the doctor’s instructions. Recently aware of the rapid increase of lumps, requiring surgical treatment to the hospital. Menstruation 15-year-old menarche, rules. Married 1 week without pregnancy. Physical examination: the general situation is good, cardiopulmonary normal, bulging belly, like pregnant full term, hard quality, the left upper quadrant has protruding mass, poor activity, no tenderness. Gynecological examination: cervical light, the posterior position of the Palace, the size of normal, activity, no tenderness, the right attachment and the pelvic mass can be reached, the upper limit of the xiphoid, hard, no