患者男 ,4 0岁。 3个月前无明显诱因出现右中腹部疼痛 ,同时伴有腹胀 ,近 2 d腹痛加重 ,伴有恶心、呕吐 ,排便排气停止来诊。查体 :右中腹部有压痛并可触及一鸡卵大小肿物 ,表面光滑 ,有压痛。听诊肠鸣音亢进 ,可闻气过水声。超声检查 :右中腹可见 6 .0cm× 4 .5 cm× 13.4 cm Male patient, 40 years old. 3 months ago, no obvious incentive to appear in the right middle and abdomen pain, accompanied by abdominal distension, abdominal pain increased nearly 2 d, accompanied by nausea, vomiting, defecation to stop bleeding. Physical examination: tenderness in the right middle abdomen and touch of a chicken egg size of the tumor, the surface is smooth, tenderness. Auscultation bowel sounds hyperthyroidism, can smell the sound of water. Ultrasonography: right middle abdomen can be seen 6 .0 cm × 4 .5 cm × 13.4 cm