1　病例摘要患者 ,女性 ,2 5岁 ,因左肋胀痛 1月余 ,腹胀 5天入院。 1月余前无明显诱因出现左肋胀痛 ,呈持续性隐痛 ,与体位及饮食无关 ,无恶心、呕吐。予青霉素治疗 ,疼痛未缓解。 5天前无明显诱因腹泻 ,为黄色稀水便 ,每日十余次 ,无粘液及脓血 ,无里急后重 ,伴阵发全腹疼痛 1 case summary Patients, women, 25 years old, left pain due to more than 1 month, bloating admitted to hospital for 5 days. There was no obvious predisposition of left-sided pain in January, persistent dull pain, no relationship with body position and diet, no nausea and vomiting. To penicillin treatment, pain did not ease. 5 days ago, no obvious incentive to diarrhea, watery yellow stool, more than ten times a day, no mucus and pus and blood, no tenesmus, with intermittent abdominal pain burst