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患者男,21岁。因大小便困难3d,拟急性尿潴留收住院。查体:耻骨联合上方球形隆起,触痛,左肾区轻度叩击痛,余无异常。予留置导尿、灌肠处理,灌肠液注入困难。住院半月时,于双腹股沟、中下腹、右上胸壁先后出现包块;胸片见第9~11胸椎体两侧三角形软组织阴影,附近骨质疏松、溶解破坏。
Male patient, 21 years old. Due to difficulty in defecation 3d, hospitalization for acute urinary fistula was admitted. Physical examination: The suprapubic symphysis bulges up and tenders. The left kidney area suffers from slight percussion pain and no abnormality. Indwelling catheterization, enema treatment, enema liquid injection difficult. In the half-month of hospitalization, masses appeared in the double groin, mid-lower abdomen, and right upper chest wall; in the chest radiograph, the soft tissue shadows of the triangles on both sides of the thoracic vertebrae were seen from the 9th to the 11th, and osteoporosis and dissolution and destruction were nearby.