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Meckel憩室间质瘤一例

万厚民,张树民,李连生,王辉

CHINESE JOURNAL OF GENERAL SURGERY（2011）

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Abstract
患者,女,47岁.因腹痛、发热1个月,加重10余天入院.体格检查:脐下方压痛、反跳痛阳性,并可触及1个12 cm×10 cm大小包块,质韧、不规则、可活动.血常规检查:WBC 21.00×109/L,N0.82,Hb 96 g/L,PLT496×109/L.血清AFP和CEA均在正常范围.腹部CT示:下腹部可见1个不规则肿物,密度不均匀(图1).行剖腹探查肿瘤切除术.术中所见:肿物位于距回盲瓣约200 cm处,与1个长约3 cm肠管结构相通.暗红色,不规则,约12 cm×10 cm大小,与周围组织粘连并破溃,侵及膀胱.
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