阑尾平滑肌瘤是阑尾良性肿瘤,临床报道很少。本院收治1例,现报告如下。患者女,51岁,因转移性右下腹痛一天入院。一年前曾有类似发作史三次,均经保守治疗治愈。查体:体温36.5℃,腹平坦、软,右下腹麦氏点压痛,无反跳痛,未触及包块。WBC 8.2×10~9/L,N 0.7,L 0.3。术中见阑尾盲肠后位,充血水肿明显,与周围粘连,逆行切除阑尾。阑尾长约7cm,盲端呈球状,直径约1.5cm,光滑,质硬,包膜完整。病理诊断:阑尾头部平滑肌瘤并单 Appendeal leiomyoma is a benign appendix tumor, few clinical reports. This hospital admitted to a case, are as follows. Female, 51, admitted to hospital with metastatic right lower abdominal pain one day. A year ago there was a history of similar attacks three times, were cured by conservative treatment. Physical examination: body temperature 36.5 ℃, abdominal flat, soft, right lower quadrant mallard point tenderness, no rebound tenderness, did not touch the mass. WBC 8.2 × 10 ~ 9 / L, N 0.7, L 0.3. See the posterior cecal appendix, congestion and edema, with the surrounding adhesions, retrograde resection of the appendix. Appendectomy about 7cm, the blind end was spherical, diameter of about 1.5cm, smooth, hard, complete capsule. Pathological diagnosis: appendix head leiomyoma and single