患者女．43岁，因有下腹突发性疼痛2天于1991年1月3日入院。2天前患者在田间劳动时．突然感到右下腹持续性疼痛阵发性加剧，恶心，未呕吐，大小便正常。家族史无特殊。体检：一般情况尚可．无贫血貌，巩膜不黄。心肺（一）。石下腹稍隆起，未见肠型，右下腹初及一个约9×9cm大 Patient female. 43 years old, admitted to hospital on January 3, 1991 due to sudden lower abdominal pain for 2 days. Two days ago when the patient was working in the field. Suddenly felt persistent pain in the right lower abdomen increased paroxysmal nausea, vomiting, normal urine. No special family history. Physical examination: the general situation is acceptable. No anemia, sclera is not yellow. Heart and lung (a). Stone abdomen slightly bulge, no intestinal type, right lower quadrant and a large about 9 × 9cm