患者男,64岁。因间断性右上腹痛伴黄染2 d,于2010年8月2日入院。疼痛呈间断性,伴恶心,无放射痛、呕吐、胸闷及憋气。患者曾于6个月前体检时彩超发现腹腔肿块,未予处理。入院体检:体温37.6℃,一般状态可,心肺未见异常,皮肤及巩膜黄染,浅表淋巴结未触及肿大,腹平软,右上腹 Patient male, 64 years old. Due to intermittent right upper quadrant pain with yellow dye 2 d, on August 2, 2010 admission. Pain was intermittent, with nausea, no pain, vomiting, chest tightness and suffocation. Patients had abdominal mass detected by color ultrasonography at 6 months prior to medical examination and had not been treated. Physical examination at admission: body temperature 37.6 ℃, the general state can be, no abnormal heart and lungs, skin and scleral yellow dye, superficial lymph nodes without swelling, abdominal soft, right upper quadrant