患者45岁,住院号52903。因腹部增大四年,排尿困难两个月,于1986年10月17日入院。该患于1982年发现腹部增大,曾去某医院诊断为“结核性腹膜炎”,抗痨治疗1个月无效,近几年腹部继续增大,伴有腹胀及下坠感,走路不便,近2个月排尿困难,曾先后有两次尿潴留,在当地导尿抗炎治疗后来我院。既往患精神分裂症10年,否认结核病史,月经规律,18岁结婚,孕6产6,末产14年前。查体:腹部高度膨胀,隐约可触及一巨大肿物,上界脐上四指,周边轮廓不清,无触痛,叩诊仅上腹部为鼓音,其余部份均为浊音。妇检:外阴经产型,阴道后壁膨出,宫颈位置较 Patient 45 years old, hospital number 52903. As the abdomen increased four years, dysuria two months, on October 17, 1986 admission. The patient found that the abdomen in 1982 increased, went to a hospital diagnosed as “tuberculous peritonitis”, anti-tuberculosis treatment for 1 month is invalid, the abdomen continued to increase in recent years, accompanied by abdominal distension and falling flu, walking inconvenience, nearly 2 Month urination difficulties, there have been two urinary retention, catheterization in the local anti-inflammatory treatment to our hospital. Previously suffering from schizophrenia for 10 years, denied a history of tuberculosis, menstrual patterns, 18-year-old married, 6 pregnant 6, 14 years before the end of production. Physical examination: abdomen height expansion, can reach a huge faint looming, upper bound on the umbilical four fingers, the surrounding outline is unclear, no tenderness, percussion only the upper abdomen as the drum sound, the rest are voiced. Gynecological examination: vulvar by type, vaginal posterior wall bulging, cervical position