患者男,56岁。因发现小便有食物残渣10余天入院,患者诉10余天前无明显诱因出现尿频、尿急、尿痛,每天20余次,2 d后发现小便内含有粪渣样物,可见食物残渣,无腹痛腹胀,无恶心呕吐,无发热,否认既往有结核、疟疾病史,有数十年“肠炎”病史,常腹泻,未行系统治疗,有肝炎肝硬化病史20余年,1991年因外伤行右侧股骨头置换术。体检:腹部平,软,全腹无压痛及腹肌紧张,未触及腹部包块,全腹叩浊音,腹部移动性 Male patient, 56 years old. Urine residue, urinary urgency, dysuria, more than 20 times a day, 2 days after the urine was found to contain fecal samples, visible food residue, no abdominal pain Bloating, nausea and vomiting, no fever, denied the history of tuberculosis, malaria, for decades, “enteritis” history, often diarrhea, no systematic treatment, history of hepatitis cirrhosis more than 20 years in 1991 due to traumatic right Side femoral head replacement. Physical examination: abdomen flat, soft, abdomen without tenderness and abdominal muscle tension, abdominal mass did not touch, all abdominal call dull sound, abdominal mobility