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患者,女,60岁。因反复上腹刀割样疼痛七月,复发加重三天拟诊胆石胆囊炎急性发作,于82年12月9日急诊入院。手术发现,胆囊肿大与周围组织粘连,胆囊壁增厚,腔内有碗豆大结石八颗。总胆管正常,未见结石。胃窦距幽门约4厘米处有一包块,约3×3厘米,质软、光滑,与周围组织无粘连。作胆囊摘除和胃窦部包块活检,未切除肿块。
Patient, female, 60 years old. Due to repeated epigastric knife-like pain in July, the recurrence aggravated for three days to be diagnosed with acute cholecystitis, and was admitted to the hospital on December 9, 82. Surgery found that gallbladder enlargement and surrounding tissue adhesions, gallbladder wall thickening, there are eight big beans in the cavity bowl. The common bile duct was normal and no stones were found. Gastric sinus is about 4 cm away from the pylorus and has a mass of about 3 × 3 cm. It is soft and smooth, and has no adhesion with surrounding tissues. For gallbladder removal and gastric antral mass biopsy, no mass was removed.