病人男,50岁。因反复右下腹疼痛2年,再发病3d于2007年4月16日入院。病人2年内右下腹疼痛共发作4次,每次均在当地医院行抗炎处理后疼痛消失。无发热。入院后体检:生命体征正常,胸部无阳性体征。腹平,腹肌不紧张,未触及包块,右下腹麦氏点压痛明显,无反跳痛,肝脾不大,肠鸣音每分钟 Male patient, 50 years old. Due to repeated right lower abdominal pain for 2 years, 3 days later, she was admitted to hospital on April 16, 2007. The patient experienced a total of 4 episodes of pain in the right lower abdomen within 2 years. The pain disappeared after each treatment in the local hospital for anti-inflammatory treatment. No heat. Physical examination after admission: normal vital signs and no positive signs on the chest. Abdominal plane, abdominal muscles are not tense, untouched mass, McDonald’s point tenderness in the right lower abdomen, no rebound tenderness, small liver and spleen, bowel sounds per minute