年仅43岁的张先生,在做了阑尾切除手术一年后,因其右下腹出现肿块,并伴有右下腹疼痛及贫血和消瘦等症状,近日来我院就诊。患者一年前因转移性右下腹持续疼痛36小时,被某医院诊断为急性阑尾炎穿孔并发腹膜炎,即为其做了阑尾切除手术。在手术中医生发现患者的大网膜已将阑尾及盲肠包裹成团并附有脓苔。术后患者很快痊愈出院。可出院后不久,张先生仍觉右下腹疼痛,误以为是“术后肠粘连”和(或)“阑尾残株炎”。 Mr. Zhang, who was only 43 years old, had been seen in our hospital for a year after undergoing an appendectomy because of a lump in her right lower abdomen and accompanied by symptoms such as pain in the right lower abdomen and anemia and wasting. One year ago, the patient suffered a persistent pain in the metastatic right lower quadrant for 36 hours. He was diagnosed with perforation of acute appendicitis complicated by peritonitis in a hospital, and he was given an appendectomy. During the operation, doctors found that the patient’s omentum had wrapped appendix and cecum in a mass with pus. The patient soon recovered from the hospital. Shortly after being discharged from the hospital, Mr. Zhang still felt pain in the right lower abdomen, and mistakenly thought it was “postoperative intestinal adhesions” and (or) “appendiceal inflammation.”