病 例 介 绍 患儿男,8岁。上腹部包块,腹痛伴发热20天于1984年8月1日入院。起病时上腹部持续性剧烈疼痛,伴恶心呕吐,呕吐物为胃内容。继则腹痛呈阵发性,每天发作一次,发病后伴有不规则发热。上腹部触及包块,发展迅速。体检:T38.3℃,P100,BP110/70。心肺(一)。剑突下偏左扪及约6cm直径之球形包块,质硬,表面光滑,无触痛,活动性差。肠鸣音正常。化验:RBC4278/mm~3, The case describes the male child, 8 years old. On the abdominal mass, abdominal pain with fever for 20 days was admitted on August 1, 1984. At the onset of severe upper abdominal pain, nausea and vomiting, vomiting for the contents of the stomach. Followed by paroxysmal abdominal pain, seizures once a day, after the onset of accompanied by irregular fever. The abdomen touched the mass and developed rapidly. Physical examination: T38.3°C, P100, BP110/70. Cardiopulmonary (I). The left xiphoid xiphoid and the spherical mass about 6cm in diameter are hard, smooth, without tenderness, and have poor mobility. The bowel sounds are normal. Laboratory tests: RBC4278/mm~3,