患者 ,男 ,30岁。因右腰部疼痛 ,阵发性加重 2 4 h于 1 999年 1 1月 4日入院。疼痛向右下腹放射 ,无恶心、呕吐及发热 ,排尿通畅 ,无膀胱刺激症状及肉眼血尿 ,无外伤史。体检 :体温 37℃ ,腹部平坦 ,无胃肠型及蠕动波 ,全腹压痛 ,反跳痛 ,腹肌紧张 ,以右上腹及右下腹为著 ,未触 Patient, male, 30 years old. Due to right lower back pain, paroxysmal aggravating 24 h was January 1, 1999 January 4 admission. Radiation to the right lower quadrant pain, no nausea, vomiting and fever, voiding patency, no bladder irritation and gross hematuria, no history of trauma. Physical examination: body temperature 37 ℃, flat belly, no gastrointestinal and peristaltic waves, total abdominal tenderness, rebound tenderness, abdominal muscle tension, to the right upper quadrant and right lower quadrant is not touched