病例介绍患者,男,47岁。因“腹胀、腹痛20+d”于2016年1月10日入院。体格检查(查体):腹部饱满,腹肌稍紧张,全腹轻压痛,无反跳痛,墨菲征阴性,肠鸣音弱。CT示:腹腔多段小肠扩张积液积气,肠梗阻可能(图1a)。诊断:肠梗阻。完善术前检查后行“剖腹探查+肠粘连松解术”。术后第7天,患者诉上腹持续性绞痛,肛门已排气。查体:生命体征平稳,皮肤巩膜无黄染,上腹压痛, Case description Patient, male, 47 years old. Because of “abdominal distension, abdominal pain 20 + d” was admitted on January 10, 2016. Physical examination (physical examination): full belly, abdominal a little nervous, full abdominal mild tenderness, no rebound pain, Murphy sign negative, bowel sounds weak. CT showed: multiple abdominal small intestine expansion fluid accumulation, intestinal obstruction may be (Figure 1a). Diagnosis: intestinal obstruction. Improve the preoperative examination after the line “laparotomy + intestinal adhesion lysis.” On the 7th day after surgery, the patient complained of persistent colic on the abdomen and the anus was vented. Physical examination: stable vital signs, skin sclera no yellow dye, abdominal tenderness,