患者53岁,1990年8月28日晨起突感下腹部持续性绞痛,阵发性加剧,伴频繁呕吐。发病后无排便及排气,于8月29日急诊入院。末次月经8月20日,带不锈钢节育环23年,带环后曾分娩4胎。查体:T37.8℃,P140次/分,BP O/OkPa。全腹均有压痛及反跳痛,以中下腹为甚,未触及包块。腹水征阳性,肠鸣音消失。妇科检查无异常发现,腹穿抽出淡红色 53-year-old patient, August 28, 1990 morning sudden onset of persistent lower abdominal pain, paroxysmal increase, with frequent vomiting. After the onset of no defecation and exhaust, on August 29 emergency admission. The last menstruation August 20, with stainless steel birth control ring 23 years, with a ring after childbirth 4 tires. Physical examination: T37.8 ℃, P140 beats / min, BP O / OkPa. All abdomen have tenderness and rebound tenderness, in the lower abdomen is even more, did not touch the mass. Positive signs of ascites, bowel sounds disappear. No abnormal gynecological examination found, abdominal wear out of light pink