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患者,男,20岁,工人,睡眠中突发左下腹持续绞痛,阵发性加重伴恶心、呕吐1h急诊来院。入院前腹痛,无腹胀,肛门无排气排便,无血尿,无果酱样血便史及黏液便史,无腹泻及便秘史。既往于10d前曾发生左下腹疼痛,不伴恶心、呕吐,自行缓解。自诉双手掌侧自儿童起出现黑斑,随年龄增长而增多。追问父母三代家族,无类似病患。查体:消瘦体质,痛苦面容,屈曲体位,抬入病房外科情况:腹平坦,全腹较软,左中下腹可见一圆形可动肿物,触之约10×10cm大小,质韧、光滑,活动度大,
Patients, male, 20 years old, workers, sudden onset of colic in the left lower abdomen during sleep, paroxysmal nausea, vomiting 1h emergency room. Abdominal pain before admission, no bloating, no defecation without anus, no hematuria, no history of paste-like bloody stools, no history of diarrhea and constipation. Previously occurred in 10d before the left lower quadrant pain, not with nausea, vomiting, relieve themselves. Prosecution Both hands since the onset of childhood dark spots, increased with age. Asked three generations of parents, no similar patients. Physical examination: weight loss, painful face, flexion position, into the ward Surgical conditions: abdominal flat, full belly soft, the left lower abdomen can be seen a circular movable tumor, touching the size of about 10 × 10cm, tough, smooth , Activity,