患者 ,男性 ,45岁。 1996年 5月初出现中上腹持续性胀痛、无畏寒、发热、黄疸 ,10余天后出现脐孔流脓。曾于外院就诊为“左肝脓肿”,先后两次经前腹行脓肿切开引流术 ,症状缓解。入院前40天复发 ,脐孔流脓 ,伴乏力、纳差 ,仍无畏寒、发热、黄疸。于 2 0 0 0年 6月 9日转入我院 Patient, male, 45 years old. Early May 1996 appeared in the abdomen persistent pain, no chills, fever, jaundice, umbilical pus purulent after more than 10 days. Had seen in the hospital as a “left liver abscess,” twice by abdomen abscess incision and drainage, symptoms relieved. 40 days before admission recurrence, pus umbilicus, with fatigue, anorexia, still no chills, fever, jaundice. On June 9, 2000 into our hospital