患者　女,67岁。入院前6天无明显诱因出现持续性中上腹疼痛伴阵发性加剧,与进食无关,无明显发热、呕吐、腹泻及黑便症状,遂来我院检查。Ｂ超检查未见异常,给予对症治疗后无明显好转。3天后患者腹痛加重,伴发热,再次来我院急诊。体检:腹部有肌卫、压痛及反跳痛,以右侧腹部为著,? Female patient, 67 years old. 6 days before admission there was no obvious incentive to persistent paroxysmal abdominal pain with paroxysmal exacerbations, and has nothing to do with eating, no obvious fever, vomiting, diarrhea and melena symptoms, then came to our hospital for examination. B-ultrasound showed no abnormalities, given symptomatic treatment without significant improvement. 3 days after the patient aggravated abdominal pain, with fever, once again to our hospital emergency room. Physical examination: Abdominal muscles, tenderness and rebound tenderness, to the right abdomen is,?