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患者,社会性别女,26岁,原发性闭经,19岁与一男性结婚,性生活“正常”,未曾怀孕。3个月前发现下腹部有一拳头大肿物,近20天持续性下腹痛,肿物增大,伴排尿费力,于1989年9月7日入院。检查:音质粗,无胡须,无喉结,皮肤粗糙,双乳房未发育。下腹部可触及一儿头大肿物,质硬、光滑、活动差。阴毛稀少,外阴呈女性型,阴蒂3×1cm,尿道口与阴道口位置正常。阴道容二指,右前壁明显受压。B超:下腹部有一17.5×16×
Patient, female, 26 years old, primary amenorrhea, 19 years old married to a man, sex “normal”, never pregnant. 3 months ago found a lower abdomen had a fist mass, sustained lower abdominal pain in the past 20 days, enlargement, accompanied by laborious urination, on September 7, 1989 admission. Check: sound quality, no beard, no throat, rough skin, double breasts are not developed. Lower abdomen can touch a big tumor in the nose, hard, smooth, poor activity. Pubic hair sparse, vulvar was female, clitoris 3 × 1cm, urethra and vaginal mouth normal position. Vaginal tolerance refers to the right anterior wall was significantly pressure. B super: the lower abdomen has a 17.5 × 16 ×