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患女,30岁。以腹部无痛性包块渐增大4年为主诉住院。查体:T36.5℃,P72次/min.R18次/min,BP14/10kPa。巩膜、皮肤无黄染,头颅、五官正常,心、肺无异常发现,腹部隆起,无肠型及蠕动波,右腹部可扪及一约婴头大小之包块,质硬,表面光滑,活动度较大,压痛(-),肝脾(-)。妇检:正常。实验室检查:WBC7.0×10~9/L,N0.70,L0.30,Hb140g/L。胸腹X线透视正常。B超提示:中腹部有一约20cm×24cm实质性包块回声区,肝肾功、心电图正常。于住院第5天在硬外麻醉下行剖腹探查,经右腹直肌切口入腹后见大网膜上有一27cm×20cm×10cm包块,质硬,与周围无粘连,腹腔淋巴结不大,肝、胆、肠、胃(-)。将大网
The woman is 30 years old. Painless masses in the abdomen gradually increased for 4 years as the chief complaint. Physical examination: T36.5°C, P72/min. R18/min, BP14/10kPa. Sclera, skin without yellow dye, head, normal facial features, no abnormalities found in the heart and lungs, abdomen bulge, no intestinal and peristaltic waves, right abdomen can be affected and an approximate size of the baby’s head mass, hard, smooth surface, activities The degree is greater, tenderness (-), liver and spleen (-). Gynecological examination: normal. Laboratory tests: WBC 7.0×10~9/L, N0.70, L0.30, Hb140g/L. Thoracic and thoracic fluoroscopy is normal. B-ultrasound: The mid-abdomen has an echo mass of about 20cm×24cm in mass, and the liver and kidney function and electrocardiogram are normal. On the fifth day of hospitalization, laparotomy was performed under hard external anesthesia. After a right rectus incision was made into the abdomen, there was a 27cm×20cm×10cm mass on the omentum. The mass was hard, there was no adhesion with the surrounding, and the abdominal lymph nodes were not large. Bile, intestine, stomach (-). Danet