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1病例介绍患者女,55岁。因“左上腹部膨隆3+个月”入院。3+个月前患者自诉无明显诱因出现左侧中上腹部膨隆,无腹痛、恶心呕吐等胃肠症状。体格检查发现:腹部双侧不对称,左中上腹部膨出,胸9~胸11区域一斜行条带状膨隆,隆起部分色泽正常,触之边界不清,柔软,无触痛;站立时明显,卧位时消失。左侧腹壁膨隆区域感觉减退,腹壁反射消失(图1)。既往史:发现腹部膨隆约2个月前该区域曾因皮
1 case description Female patient, 55 years old. Because “left upper abdominal bulge 3 + months ” admission. 3+ months before the patient’s private prosecution no obvious incentive to appear in the left middle and upper abdomen bulge, no abdominal pain, nausea and vomiting and other gastrointestinal symptoms. Physical examination found that the abdomen bilateral asymmetry, left middle and upper abdomen bulge, thoracic 9 ~ chest 11 area a diagonal strip bulging bulge part of the normal color, touching the border is not clear, soft, no tenderness; standing Obviously, disappeared when lying. Feeling of distension of the left abdominal wall bulging area, abdominal wall reflex disappeared (Figure 1). Past history: Found abdominal swelling about 2 months ago in the region had skin