女患者,18岁,住院号4626。于1982年6月6日因突起下腹阵发性绞痛急诊入院。腹痛不放射,无恶心、呕吐,有便意感。半年来有类似发作两次,经治疗缓解。初潮16岁,经量较少,末次月经6月1日。体查:急性痛苦病容,血压110/72毫米汞柱,下腹稍膨隆,腹壁紧张呈板状,压痛明显,无反跳痛。妇科检查:阴毛稀少,子宫偏左,大小正常,盆腔内触及肿块如3个月妊娠,边缘不清,活动受限,触痛明显。以盆腔肿块,局限件腹膜 Female patient, 18 years old, hospital number 4626. On June 6, 1982 due to sudden lower extremity paroxysmal colic emergency admission. Abdominal pain does not radiate, no nausea, vomiting, sense of convenience. A similar attack in the past six months, twice, after treatment to ease. Menarche 16 years old, by the amount of less, the last menstrual June 1. Physical examination: acute pain, blood pressure 110/72 mm Hg, slightly bulging lower abdomen, abdominal tension was plate-like, tenderness, no rebound tenderness. Gynecological examination: sparse pubic hair, uterine left, normal size, pelvic palpable mass such as 3 months of pregnancy, marginalized, limited mobility, tenderness significantly. Pelvic mass, the limitations of the peritoneum