患者,女,40岁,打工。2008年10月份无明显诱因下出现右下腹部疼痛伴恶心,无畏寒、发热及腹泻。PE:腹肌软,麦氏点压痛(+),反跳痛(+),当时到绍兴县华宇人民医院就诊。B超提示:右下腹部低回声包块。拟诊为“阑尾脓肿”行抗炎治疗1周右下腹痛消失,嘱病人3个月后手术治疗。 Patient, female, 40 years old, working. In October 2008 there was no obvious incentive for lower right lower quadrant pain with nausea, no chills, fever and diarrhea. PE: Abdominal muscle soft, malt point tenderness (+), rebound tenderness (+), was to Huayu People’s Hospital, Shaoxing County for treatment. B-Tip: lower right abdomen hypoechoic mass. To be diagnosed as “appendix abscess ” anti-inflammatory treatment of right lower quadrant abdominal pain disappeared, instruct patients 3 months after surgery.