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患者女,24岁。因妊娠40周,下腹部包块30周拟行剖腹产及腹腔探查术入院。妊娠7周时查体双侧附件正常,10周时发生腹绞痛。右侧附件可触及7×4×3厘米之肿物,未予处理。30周时行B超检查示子宫右侧及耻骨上部各有一个囊性包块。此后患者自觉包块逐渐增大,妊娠末期生长较快。入院查体:腹膨隆,宫底38厘米,腹围94厘米,下腹部两例向外凸出,可触及直径10厘米之包块,囊性感,移动性浊音(一)。行剖腹产术,剖出一正常女婴。见双侧卵巢明显肿大,腹腔内有数十个大如枣、小如黄豆之游离囊泡及少量淡黄色腹水,疑双侧卵巢恶性肿瘤,行子宫及双侧附件切除(因是夜间手术,未能做快速冰冻检查)。双侧卵巢肿物大
Female patient, 24 years old. Due to 40 weeks of pregnancy, lower abdominal mass 30 weeks to undergo caesarean section and abdominal exploration. 7 weeks of pregnancy when the attachment of bilateral normal, abdominal cramps occurred 10 weeks. Right attachment can reach 7 × 4 × 3 cm of the tumor, untreated. B-line ultrasound examination at 30 weeks showed the right side of the uterus and suprapubic each have a cystic mass. Since then, patients gradually increase the mass, the rapid growth of late pregnancy. Admission examination: abdominal bulge, 38 cm at the end of the palace, abdominal circumference 94 cm, two cases of lower abdomen bulging outward, palpable diameter of 10 cm mass, cystic sexy, shifting dullness (a). Cesarean section, cut a normal baby girl. See ovarian obvious enlargement of the abdomen, there are dozens of as large as jujube intraperitoneal, such as free small vesicles and yellowish ascites, suspected ovarian cancer, bilateral uterine and bilateral removal of the attachment (because of night surgery , Failed to make quick freeze check). Large bilateral ovarian tumor