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患者男性,3岁。因进行性腹胀伴茶色尿1个月入院。查体:消瘦观,皮肤巩膜轻度黄染,腹部膨隆,腹壁静脉曲张,全腹可触及一巨大囊性肿块,表面光滑,无压痛。彩超示腹腔内一巨大囊性肿块,上至剑突,下至盆腔,前达腹壁,后贴脊椎。术前诊断:腹腔巨大囊性肿块。手术探查见:胆总管扩张约30cm×20cm×20cm,囊内共吸出胆汁3100ml,囊内一枚结石,约0.5cm×0.5cm×0.5cm,肝总管内径约0.6cm,胆囊无异常,肠管被推至左下腹。按传统
Male patient, 3 years old. Due to progressive bloating with brown urine 1 month admission. Examination: weight loss concept, skin scleral mild yellow dye, abdominal bulging, abdominal varicose veins, the whole abdomen can reach a huge cystic mass, the surface is smooth, no tenderness. Choi ultrasound shows a huge cystic mass within the abdominal cavity, up to the xiphoid, down to the pelvis, up to the abdominal wall, posted after the spine. Preoperative diagnosis: a huge cystic mass in the abdominal cavity. Surgical exploration, see: common bile duct dilation of about 30cm × 20cm × 20cm, a total of 3100ml in the capsule aspiration bile, a capsule within the capsule, about 0.5cm × 0.5cm × 0.5cm, the diameter of the hepatic duct about 0.6cm, no abnormal gallbladder, Push to the left lower abdomen. By tradition