患者,55岁。因尿急频痛、腹泻2月,于1986年3月7日入院。1年前始感尿次增多、混浊,大便不成形,近月有急迫性尿失禁感且伴大便次数增多(15～20次/日,为稀粘液便)。曾有进行性排尿困难史。入院第2天肛门处流出大量暗褐色恶臭液体约1200ml。体检:中下腹可扪及葫芦状胎头大肿块,上极脐下2横指。肛检:直肠前壁(相当于前列腺位置)可扪及巨大肿块,质地软硬不均,左侧叶有囊性感,右侧叶有结节感,冰冻盆腔感(±)。直肠前壁6点处、距肛缘5 cm可扪及裂口。进裂口指检有多囊腔感。腹部平片提示下腹部有胎头大圆形密度减低影。B超示下腹可见40×30×20cm不均质性多腔肿块,中央处有不规则18×12cm大小不等液性暗区,膀胱受压向上方推移。肿块穿刺物病检诊断:纤维组织增生。自 Patient, 55 years old. Due to urgency and frequent diarrhea in February, on March 7, 1986 admission. A year ago, the initial feeling of increased urination, turbidity, stool is not formed, urinary incontinence in recent months and accompanied by an increase in the number of stool (15 to 20 times / day, thin mucus will). Had a history of dysuria. On the second day of admission, a large amount of dark brown malodorous liquid was discharged from the anus at about 1200 ml. Physical examination: palpable in the lower abdomen gourd-shaped head large tumor, the very umbilical 2 horizontal fingers. Anal examination: the anterior rectal wall (equivalent to the location of the prostate) palpable huge tumor, the texture of soft and hard, the left lobe cystic sexy right nodule, frozen pelvic feeling (±). Rectal wall at 6 o’clock, from the verge of 5 cm palpable and rips. Into the Rift said how the sense of cystic cavity. Abdominal plain film tips lower abdomen has a large round head of the lower density shadow. B ultrasound showed lower abdomen 40 × 30 × 20cm heterogeneous multi-cavity mass in the center of irregular 18 × 12cm size liquid dark area, the bladder pressure to the top of the shift. Tumors puncture disease diagnosis: fibrous tissue hyperplasia. from