1病例报告患者女,44岁。1天前无明显诱因出现右下腹疼痛,进行性加重,伴恶心,继而发热,以“腹痛待查”收入院。查体:体温39.4℃,急性病容,强迫体位,右下腹轻压痛、反跳痛,局限性肌紧张,罗氏征阳性。急查血常规:白细胞计数21.5×109/L,中性粒细胞0.94,红细胞计数4.76×1012/L,血红蛋白91g/L。诊断为急性阑尾炎、轻度贫血。急诊行阑尾切除术,术中见腹腔内脓性渗液约200ml,回盲部水肿,阑尾被大网膜包裹,呈暗褐色,周围有脓苔,距阑尾根部0.5cm处见一乳白色长带状虫体堵塞阑尾腔,已穿孔。术后9天顺利出院。病理结果:急性化脓性阑尾 A case report patient female, 44 years old. 1 day ago no obvious incentive to appear right lower quadrant pain, progressive increase, with nausea, then fever, to “abdominal pain pending investigation ” income hospital. Physical examination: body temperature 39.4 ℃, acute disease, forced position, right lower quadrant mild tenderness, rebound tenderness, localized muscle tension, Roche sign positive. Urgent blood routine examination: white blood cell count 21.5 × 109 / L, neutrophils 0.94, red blood cell count 4.76 × 1012 / L, hemoglobin 91g / L. Diagnosis of acute appendicitis, mild anemia. Emergency line appendectomy, intraoperative see intraperitoneal purulent exudate about 200ml, ileocecal edema, the appendix was omental wrapped, dark brown, surrounded by pus moss, 0.5cm away from the root of appendix see a milky white long band The parasitic body plug the appendix cavity, has been perforated. Nine days after the successful discharge. Pathological findings: acute purulent appendix