患儿:女,3岁。以转移性腹痛、发热6小时收入院。体检:体温39℃,一般情况好,腹平、软,右下腹麦氏点明显压痛及反跳痛,腹部未扪及包块。以“急性阑尾炎”急症手术。取右下腹麦氏切口入腹见阑尾4.0 cm×3.0 cm×3.5 cm 大小,呈球形,无阑尾系膜,表面无结节,充血水肿,呈早期化脓样改变,周围无肿大的淋巴结,疑有阑尾肿瘤,常规 Children: Female, 3 years old. With metastatic abdominal pain, fever 6 hours income hospital. Physical examination: body temperature 39 ℃, the general situation is good, abdominal flat, soft, right lower quadrant Maxwell point tenderness and rebound tenderness, abdominal palpable mass. To “acute appendicitis” emergency surgery. Take the right lower abdomen Maxwell incision into the abdomen to see the appendix 4.0 cm × 3.0 cm × 3.5 cm in size, spherical, no appendix mesangial surface nodules, congestion and edema, showed early pus-like changes, no enlarged lymph nodes around, suspect Have appendix tumor, routine