患者,女,32岁。因右上腹胀痛5天,伴恶心、呕吐,呕吐物为胃内容物及黄绿色胆汁,B超检查提示右肾内实质性占位伴液性暗区,于1992年9月4日入院。体检:急性痛苦病容,轻度贫血貌,浅表淋巴结不大,巩膜无黄染,心肺无异常发现。腹平,右上腹及侧腹部肌紧张、压痛明显,反跳痛(+),莫菲氏征(+), Patient, female, 32 years old. Due to the right upper quadrant pain for 5 days, with nausea, vomiting, vomit for the contents of the stomach and yellowish green bile, B ultrasound examination prompted the right renal solid with liquid dark area, in September 4, 1992 admission. Physical examination: acute pain, mild anemia appearance, superficial lymph nodes, sclera no yellow dye, no abnormal heart and lung findings. Abdominal flat, right upper quadrant and lateral abdominal muscle tension, tenderness, rebound tenderness (+), Murphy’s sign (+),