Patients themselves feel something on top of the right upper abdomen, there are generally the following cases: 1, chronic enlarged gallbladder, the normal gallbladder size in 3-7 centimeters, for patients with chronic cholecystitis, the gallbladder can increase to more than ten centimeters, at this time, the patient’s right upper abdomen can touch the enlarged gallbladder, because it is chronic inflammation, so the patient can have no obvious abdominal pain, fever, nausea, vomiting and other symptoms, in this case, the gallbladder The loss of function, with the prolongation of time, there is a risk of cancer, and patients are mostly recommended to have surgery to remove it as early as possible.2.Biliary roundworm, especially seen in adolescent patients, the peristaltic movement of roundworm in the bile duct will cause spasmodic contraction of bile duct, the more typical symptom is drill-top pain in the right upper abdomen, but there is no obvious pressure pain symptom, feasible cholangiography to clarify the presence of roundworm lesion, and minimally invasive surgery as early as possible.3.Hepatic right lobe tumor. Huge exophytic tumor in the right lobe of liver will cause swelling of liver peritoneum, and the patient will have pain in the right upper abdomen. It is suggested to improve enhanced CT examination to clarify the lesion and then perform surgery as early as possible.