1、CASE REPORT,Department of General Surger,May 12th, 2016,Medical Records for Admission,Name： Sex: female Age: 31 Registration No.:Date of admission：,Chief compliant,Two months after appendicectomy；Recurrent abdominal pain associated with fever for one month,Present history 1,right ventral abdominal p
2、ain，2 months agoappendicectomy in Hongkongabdominal pain associated with fever for one monthmaximum body temperature up to 38.9,There are no similar diseases in his family,Family History,right low abdominal pains tenderness（+）、Rebound tenderness（+）;,Physical Examination,Blood routine,urine routine,4
3、/21,coagulation function,Liver function test,4/21,Tumor marker,4/7,LAB FINDINGS,Imageological examination: 1、肝胆胰脾、双肾输尿管、膀胱、子宫、附件无殊。 2、右下腹非均质性包块。,CT,Description： 右侧回盲部见斑片状软组织密度影及条索影，边缘毛糙，约29x43mm，增强明显不均匀强化，内低密度坏死去无强化，右侧腹壁下见略不规则环形强化影。阑尾区少量积气，见高密度结石夹留置，呈术后改变，周围见多个稍大淋巴结，增强明显强化。,CT,1、阑尾术后改变并回盲部、阑尾周围脓肿，建议治疗后复查；2、阑尾周围多发淋巴结影；3、肝右叶后上段不典型小血管瘤多考虑，随访；4、阴道穹窿部少量积液，请结合临床考虑。,Diagnosis,1. appendicitis after appendectomy2. Abdominal Abscess,Discusion：further treatment?,
