患者男性 ,77岁 ,因右上腹胀痛 1月余入院。患者无明显诱因腹胀 1个月 ,有时伴有轻度腹痛。查体 :一般情况可 ,心肺无异常 ,腹平软 ,无压痛、反跳痛 ,肝脾肋下未触及 ,未扪及明显包块 ,肠鸣音亢进 ,神经系统检查未见异常。辅助检查 :腹部Ｂ超示胆囊炎 ,腹透示不完全性肠梗阻 , Male patient, aged 77, was admitted to hospital for more than 1 month due to pain in his right upper quadrant. Patients with no obvious incentive to bloating 1 month, sometimes accompanied by mild abdominal pain. Physical examination: the general situation can be, no abnormal heart and lungs, abdominal soft, no tenderness, rebound tenderness, liver and spleen ribs did not touch, palpable mass, bowel sounds hyperthyroidism, nervous system examination without exception. Auxiliary examination: abdominal B cholecystitis, abdominal imperfect bowel obstruction,