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患者,男,19岁,因腹胀伴消瘦20d入院。患者近20d无明显诱因出现腹胀不适,主为上腹胀不适,进食后加重。曾于5d前出现腹部绞痛,呈阵发性加剧,消炎治疗后好转。入本院后体检示腹软、质稍韧、双侧下腹部轻压痛。腹部B超示腹腔大量积液,腹腔多发实质性包块(主要位于腹膜及系网膜上),并在B超下活检。活检结果考虑为腹部平滑肌肉瘤伴黏液样变。后行剖腹探查手术所见:小肠
The patient, male, 19 years old, admitted to hospital because of abdominal distention with weight loss 20 days. There was no obvious cause of bloating and discomfort in patients in the past 20 days. The main body was distended and distended after eating. Abdominal cramps occurred 5 days ago, showing increased paroxysmal and improved after anti-inflammatory treatment. After entering the hospital, the body showed abdominal softness, slightly tougher, and mild tenderness on both sides of the lower abdomen. Abdominal B ultrasound showed a large amount of peritoneal effusion, abdominal mass multiple mass (mainly located in the peritoneum and omentum), and biopsy under ultrasound. Biopsy results were considered abdominal leiomyosarcoma with mucinous changes. Postoperative laparotomy: see the small intestine