%0 Journal Article
%T 腹白线疝内容物为肝圆韧带并发胃癌一例<br>A Case Report of the Round Hepatic Ligament Being as Contents of Linea Alba Associated with Gastric Cancer
%A 王鹏飞
%A 陈斌
%A 贾增荣
%A 韩少良
%J Asian Case Reports in Oncology
%P 11-13
%@ 2169-883X
%D 2012
%I Hans Publishing
%R 10.12677/ACRPO.2012.12003
%X <div style=\"text-align:justify;\">
	<span style=\"line-height:1.5;\">女性，</span><span style=\"line-height:1.5;\">70</span><span style=\"line-height:1.5;\">岁，主诉上腹壁包块</span><span style=\"line-height:1.5;\">60</span><span style=\"line-height:1.5;\">余年，上腹部隐痛</span><span style=\"line-height:1.5;\">1</span><span style=\"line-height:1.5;\">月余。查体：一般情况尚可，贫血貌，结膜苍白</span><span style=\"line-height:1.5;\">(</span><span style=\"line-height:1.5;\">++</span><span style=\"line-height:1.5;\">)</span><span style=\"line-height:1.5;\">，巩膜黄染</span><span style=\"line-height:1.5;\">(</span><span style=\"line-height:1.5;\">？</span><span style=\"line-height:1.5;\">)</span><span style=\"line-height:1.5;\">。上腹部正中可及一</span><span style=\"line-height:1.5;\">6 cm</span><span style=\"line-height:1.5;\"> ×</span><span style=\"line-height:1.5;\">4 cm</span><span style=\"line-height:1.5;\">一包块，质软，不能回纳。腹部</span><span style=\"line-height:1.5;\">B</span><span style=\"line-height:1.5;\">超检查示：上腹部腹壁皮下深筋膜回声中断，有一个缺口约</span><span style=\"line-height:1.5;\">9 mm</span><span style=\"line-height:1.5;\">，其浅方可见一个</span><span style=\"line-height:1.5;\">53 mm</span><span style=\"line-height:1.5;\"> ×</span><span style=\"line-height:1.5;\">20 mm</span><span style=\"line-height:1.5;\">×</span><span style=\"line-height:1.5;\">39 mm</span><span style=\"line-height:1.5;\">偏强回声团块，内见蠕动的肠管及网膜样组织，通过此缺口与腹腔相通</span><span style=\"line-height:1.5;\">，</span><span style=\"line-height:1.5;\">提示腹白线疝。腹部</span><span style=\"line-height:1.5;\">CT</span><span style=\"line-height:1.5;\">扫描提示：上腹前壁中线处皮下脂性团片影，考虑腹白线疝可能。胃镜检查：胃窦部见一个不规则隆起，大小约</span><span style=\"line-height:1.5;\">4 cm</span><span style=\"line-height:1.5;\"> ×3.5 cm</span><span style=\"line-height:1.5;\">，表面溃烂，病理示：低分化腺癌。实验室检查：血红蛋白</span><span style=\"line-height:1.5;\">(Hb)73 g/L</span><span style=\"line-height:1.5;\">，癌胚抗原</span><span style=\"line-height:1.5;\">(CEA)3.0 ug/L</span><span style=\"line-height:1.5;\">。在硬膜外麻醉下行剖腹探查：术中见腹白线处有一个</span><span style=\"line-height:1.5;\">3 cm</span><span style=\"line-height:1.5;\"> ×</span><span style=\"line-height:1.5;\">4 cm</span><span style=\"line-height:1.5;\">×</span><span style=\"line-height:1.5;\">4 cm</span><span style=\"line-height:1.5;\">肿块，边界清，淡黄色，质软，与肝圆韧带顺序相连；肿瘤位于胃窦部小弯侧后壁，</span><span style=\"line-height:1.5;\">Borromann3</span><span style=\"line-height:1.5;\">型，约</span><span style=\"line-height:1.5;\">5 cm</span><span style=\"line-height:1.5;\"> × </span><span style=\"line-height:1.5;\">4 cm</span><span style=\"line-height:1.5;\">大小，穿透浆膜面，故行</span><span style=\"line-height:1.5;\">“</span><span
%K 腹白线疝；肝圆韧带；胃癌<br> Linea Alba
%K Round Hepatic Ligament
%K Gastric Cancer
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=5036