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病例资料患者,男,53岁,下腹部阵发性绞痛1d,无呕吐。外院X线检查示肠梗阻。体检:腹软,下腹部压痛,无反跳痛及放射痛,右中下腹扪及约拳头大小肿块,质韧,边界不清,活动度欠佳,无压痛;移动性浊音阴性,听诊肠鸣音亢进,约10次/分钟;右侧阴囊空虚未扪及睾丸,左侧睾丸大小正常。影像表现:CT平扫,回盲部见一类圆形软组织密度影,大小约7.1cm×4.3cm,CT值为46HU,边界欠清晰,下腹部肠管局部盘曲成团,呈包裹状(图
Case data patients, male, 53 years old, paroxysmal abdominal colic 1d, no vomiting. External X-ray examination showed intestinal obstruction. Physical examination: Abdominal tenderness, tenderness in lower abdomen, no rebound tenderness and radiating pain, palpable mass of fist in right and lower abdomen, quality and toughness, unclear boundary, poor mobility, no tenderness; Tone hyperthyroidism, about 10 beats / min; right scrotum emptiness not palpable testicles, left testis size normal. Imaging: CT scan, ileocecal see a class of round soft tissue density, the size of about 7.1cm × 4.3cm, CT value of 46HU, the border is not clear, the lower abdomen bowel into a pack, wrapped (Figure