1　临床资料患者 ,男 ,2 0岁 ,右下腹痛 1年余 ,3个月前在当地按“慢性阑尾炎急性发作”行阑尾切除术 ,术中见阑尾无异常 ,小肠、结肠及胃壁可见广泛的白斑样改变 ,回盲部尤甚 ,切除阑尾。术后时有发热 ,仍有右下腹痛 ,局部可触及包块 ,压痛明显 ,后来形成肠外瘘 ,为进一步诊治 1 clinical data of patients, male, 20 years old, right lower abdominal pain more than 1 year, 3 months ago in the local press “acute appendicitis episode” line appendectomy, see the appendix no abnormal intraoperative, small intestine, colon and stomach can be seen widely The white-like changes, particularly in the ileocecal resection of the appendix. Postoperative fever, there are still right lower abdominal pain, local palpable mass, tenderness was obvious, and later the formation of intestinal fistula, for further diagnosis and treatment