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患者女,53岁,半年前开始食欲减退,消瘦明显,体重由65公斤降至52公斤,乏力,便稀与便秘交替出现,无脓血便,无盗汗。有结核接触史。3个多月前感腹胀,腹部逐渐增大,在当地医院曾先后两次抽腹水化验,为淡黄色渗出液,细胞学检查未找到癌细胞。肝肾功能及血常规正常。诊断为结核性腹膜炎,行抗痨治疗。半月后症状无明显好转,经妇科检查发现左下腹有肿块。B型超声探查见左下腹有一3×4×3厘米实性
Female, 53 years old, six months ago began appetite loss, weight loss significantly reduced body weight from 65 kg to 52 kg, weakness, they alternate with constipation, no abscesses and blood stools, no night sweats. Have a history of tuberculosis contact. More than 3 months ago, the patient experienced abdominal distension and his abdomen gradually increased. At the local hospital, he had aspirated ascites twice a day for exudation, and cytology did not find any cancer cells. Liver and kidney function and blood normal. Diagnosis of tuberculous peritonitis, anti-tuberculosis treatment. Half a month after the symptoms no significant improvement in the left lower quadrant found by the gynecological examination of the tumor. B-type ultrasound probe to see the left lower quadrant of a 3 × 4 × 3 cm solid