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患者 女,62岁。主因大便带血2个月,进食后腹胀、腹痛1个月,加重3天于1997年3月20日入院。查体:一般情况好,心肺无阳性体征。腹部膨隆,柔软,右腹压痛,未及包块,肝脾未及,无移动性浊音,肠鸣音活跃。B超示:肝曲结肠占位性病变。考虑肝曲结肠癌并不完全性肠梗阻。经对症处理后,行剖腹探查。术中于肝曲结肠后壁触及一圆形肿物,直径约10cm,近端结肠扩张,未触及肿大的淋巴结。遂以结肠癌行根治性右半结肠切除术。术后大体病理见结肠肝曲后壁圆形肿物,黄色,直径11cm,基底部宽大。病理报告:结肠血管脂肪瘤。
Patient Female, 62 years old. The main reason was bloody stools for 2 months. After eating, there was abdominal distension and abdominal pain for 1 month. He was admitted to the hospital on March 20, 1997 after he was admitted for 3 days. Physical examination: In general, there are no positive signs of heart and lung. Abdominal bulging, soft, right abdominal tenderness, no mass, liver and spleen, no moving dullness, bowel sounds active. B-show: liver colon lesions. Consider incomplete colonic obstruction in liver and colon cancer. After symptomatic treatment, laparotomy was performed. During the operation, a round mass was touched on the posterior wall of the hepatic colon, with a diameter of about 10 cm. The proximal colon was dilated and no enlarged lymph nodes were touched. A radical right colon resection with colon cancer was performed. The gross pathology after surgery was seen in the posterior wall of the colon, with a round mass, yellow, 11 cm in diameter, and large basement. Pathology report: Colon angioma.