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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 pain,
2、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,4/21,
3、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?,