患者,男性。因突发上腹部剧痛10小时,伴恶心、呕吐、腹泻于2000年5月15日来院就诊。追问病史:患者平素身体健康,无外伤史。查体:BP:90/60mmHg,痛苦病容、面色苍白、全腹压痛、反跳痛、肌紧张明显,移动性浊音阳性。急诊B超检查见:肝左叶下方探及大小为3.0cm×2.4cm实性偏低回声区,形态规整,无明显包膜,突向肝脏表面,内部回声欠均匀,侧动探头该低回声区与肝组织无明显分界 Patient, male. Sudden epigastric pain for 10 hours, with nausea, vomiting, diarrhea came to the hospital on May 15, 2000. Asked about medical history: Patients are generally healthy and have no history of trauma. Physical examination: BP: 90/60mmHg, painful, pale, full abdominal tenderness, rebound tenderness, marked muscle tone, positive shifting dullness. Emergency B-ultrasound examination: Underneath the left lobe of the liver, the hypoechoic area with a size of 3.0 cm × 2.4 cm was observed. The shape was regular and there was no obvious capsule. It protruded to the surface of the liver and the internal echo was not even. The lateral motion probe was hypoechoic. There is no clear demarcation between the area and liver tissue