患者,男,56岁。因右上腹持续性隐痛,阵发性加剧半个月于2004年6月4日收入消化内科。腹痛向背部放射,进食后加重,伴解柏油样大便。既往体健,无吸咽史。查体:全身浅表淋巴结未触及,双肺呼吸音清,腹部稍膨隆,剑突下轻压痛,未触及包块,肛门指诊未触及肿物。入院时腹部平片未见异常, Patient, male, 56 years old. Continuous pain due to the right upper quadrant, paroxysmal exacerbation of half a month on June 4, 2004 income digestive medicine. Abdominal pain to the back of the radiation, increased after eating, with the solution of stool-like. Past physical health, no history of suction pharynx. Physical examination: systemic superficial lymph nodes not touched, lung breath sounds clear, slightly bulging abdomen, under the xiphoid tenderness, did not touch the mass, the anus did not touch the mass palpation. Abdominal plain film when admitted to no abnormalities,