病历摘要:病人男性,56岁,以“腹部逐渐隆起并排尿不尽1a就诊。病发中夜尿1～2次,无尿频、尿急、尿痛史,病人食欲减退,有牛、羊、狗密切接触史。查体:慢性病容,体质消瘦,腹中部隆起,可触及一肿块,上达剑突下三指,下致耻骨联合,边界清,表面光滑,囊性感,叩呈浊音,双肾区叩击痛阳性。CT检查示腹腔内囊性占位,双肾轻度积水,尿常规检查示尿比重下降,酸性。肾功正常,包虫皮内试验呈强阳性。入院诊断:腹腔包虫。手术前1日给予留置尿管。在导尿管进入后尿道时感有阻力,经努力后插入膀胱引流深黄色尿液2000ml,发现腹腔包块逐渐缩小并消失。后经逆行尿道造影和膀胱镜检查证实腹部囊性占位为扩大的膀胱。后以“前列腺增生症,慢性尿潴流”经予输液,对症 Medical history summary: Male patient, 56 years old, with “the abdomen gradually bulging and urinating endless la treatment .Night diuresis 1 to 2 times, no urinary frequency, urinary urgency, dysuria history, patients with loss of appetite, cattle, sheep, Dog close contact with the history. Physical examination: chronic disease, weight loss, abdomen uplift, palpable mass, up to the xiphoid three fingers, under the pubic symphysis, the boundary clear, smooth, sexy, knocking dull, double Kidney area percussion pain positive.CT examination showed cystic abdominal mass, mild hydronephrosis, urinary routine examination showed a drop in urinary specific gravity, acidic, normal renal function, hydatid cyst test was strongly positive.Admission diagnosis: Abdominal hydatid.One day prior to surgery to give indwelling catheter.When the catheter into the posterior urethra, there is resistance, after the insertion of the bladder into the dark yellow urine 2000ml, abdominal mass was found to gradually shrink and disappear.After the retrograde urethra Angiography and cystoscopy confirmed abdominal cystic spaces for the expansion of the bladder after the ”benign prostatic hyperplasia, chronic urinary retention flow" by the infusion, symptomatic