1病例资料患者,女,38岁。无明确诱因反复腹痛2月余,不向腰背部放射,进餐后加重,无明显畏寒发热、恶心呕吐、乏力纳差、厌油乏力等症状,一直未加重视。近日来患者发现大便稀,每日约两次,有时混有胨子,无粘液及脓血。专科检查:腹平软,右上腹压痛无反跳痛,肝脾肋缘下未触及,肠鸣音可,移动性浊音阴性,双下肢不肿。2结果2.1术前影像学检查在我院行腹部CT(图A、B、C、D)示:①考虑胆囊炎,新生物待排,脾脏增大。②下腔静脉显示不清。③奇静脉增粗,建议进一步检查。腹部彩超示:①胆囊窝处低 1 case information patients, female, 38 years old. No specific incentive repeated abdominal pain for more than two months, not to the lower back radiation, increased after eating, no significant chills and fever, nausea and vomiting, fatigue, poor appetite, tired of oil tiredness and other symptoms, has not attached importance. In recent days, patients found stool thin, about twice a day, sometimes mixed with peptone, mucus and pus and blood. Specialist examination: Abdomen soft, right upper quadrant tenderness without rebound tenderness, liver and spleen under the edge of the ribs did not touch, bowel sounds can be, mobility dullness negative, both lower extremity is not swollen. 2 results 2.1 preoperative imaging examination in our hospital abdomen CT (Figure A, B, C, D) shows: ① consider cholecystitis, new organisms to be discharged, the spleen increased. ② inferior vena cava shows unclear. ③ azygos vein thickening, it is recommended further examination. Abdominal color ultrasound shows: ① gallbladder at the low