患者,男,42岁。上腹部肿块二月,增大伴剧烈疼痛半月于1994年3月2日入我院。2个月前感上腹饱满,逐渐扪清一鸭蛋大肿块,伴持续钝痛,无腹胀,大小便正常,未行诊治。半月前无诱因下突然上腹部剧痛,肿块迅速增大,无恶心、呕吐,轻度腹胀,大便干结,无黑便。既往史和家族史无特殊情况。体检,一般情况尚可,发育正常,消瘦,贫血貌,心肺正常。上腹部饱满,无腹壁静脉曲张,腹软,肝脾未触及,脐上可扪及一10cm×10cm Patient, male, 42 years old. The upper abdominal mass was enlarged in February, and severe acute pain was admitted to our hospital on March 2, 1994. I felt full on the upper abdomen two months ago. I gradually cleared out a large lump of duck eggs with persistent dull pain, no bloating, normal urine, and no treatment. Half an abrupt episode of sudden epigastric pain under no inducement half a month ago. The mass rapidly increased without nausea, vomiting, mild abdominal distention, dry stool, and no melena. Past and family history have no special circumstances. Physical examination, generally fair, normal development, weight loss, anemia appearance, normal heart and lung. Full upper abdomen, no abdominal wall varicose veins, soft abdomen, untouched liver and spleen, umbilicus and a 10cm × 10cm