患者,女,28岁,农民,因持续腹痛1 d伴呕吐入院。腹痛发作前曾腹泻半天,无肉眼血便。入院前乡村医生曾为其按摩腹部治疗无效。以往有反复腹痛常可自愈。查体:于左侧腹部扪及4 cm×4 cm大小的活动性包块,边界清,触痛重。怀疑肠梗阻作X线腹部平透,未见气液平面。为明确腹部包块性质 Patient, female, 28 years old, farmer, admitted to hospital with persistent abdominal pain for 1 day with vomiting. Had abdominal pain for a long time before the onset of abdominal pain, no gross blood stool. The village doctor before admission had no treatment for his abdomen massage. In the past there are often repeated abdominal pain can be self-healing. Examination: palpable on the left abdomen 4 cm × 4 cm size of the active mass, clear boundary, tenderness. Suspected intestinal obstruction X-ray abdomen flat through, no gas-liquid plane. To clarify the nature of abdominal mass