Misdiagnosed as giant cysts in the right ureter on the right 1 case of ovarian cyst.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosed as giant cysts in the right ureter on the right 1 case of ovarian cyst [Keywords:] cyst Large ureterocele rare in the clinic have been admitted to our hospital, 1 case are as follows. A medical record Patients, female, 20 years old, married, pregnant 2 production 0 found abdominal mass more than ten years, at December 15, 2003 admission. Were found on the right abdomen since childhood, has a mass, no discomfort .2003 May ultrasound Annex show a huge cystic mass on the right, now 2 + months pregnant, ultrasound prompted mass increases, so the hospital surgery. patients with no fever, no abdominal pain, bowel and bladder were normal. admission examination: T 36.8 ℃, P 70 times / min, R 18 times / min, BP 120/70 mm Hg. mind clear, the spirit of good, no abnormal heart and lung, the right slightly bulging belly, soft, liver and spleen not palpable ribs, percussion drums, right lower quadrant was voiced, no tenderness, bowel sounds normal. gynecological examinations: external Yinfa Yu normal, married and non-production type, vaginal smooth, soft, smooth cervical diameter of 2 cm, soft, Palace anterior 9 cm × 8 cm × 7 cm, soft . the right accessories can be reached at a 15 cm × 10 cm × 6 cm sized cystic mass, a fluid wave sliding sense of activity may be on the left side was normal. Laboratory examination: WBC 11.5 × 109 / L , RBC 3.85 × 1012 / L, hemoglobin 122 g / L, hematocrit 0.347, platelet 244 × 109 / L. normal renal function and blood sugar, PT normal, AFP-negative, CEA negative. ultrasound showed: 7 intrauterine pregnancy + weeks of survival, a huge cystic mass in the right accessories. admission diagnosis: (1 intrauterine pregnancy 7 + weeks. (2 huge right ovarian cyst. hospitalized before admission to do inspection and preparation. on December 17, 2003 line laparotomy, intraoperative see enlarged uterus, soft, normal bilateral annex, a large cystic mass originating from the long form of peritoneal, about 15 cm