李××,女性,32岁,农民,住院号48266。宫内孕第二胎40~(+?)周,腹阵痛6小时于1990年3月20日入院。末次月经1989年6月8日,预产期1990年3月15日。入院后在产程进展中发现胎心转慢,故因胎儿宫内窘迫,巨大儿行子宫下段剖宫产术,手术顺利,娩出一男性活婴,体重4100g。术中检查右侧附件正常,左侧输卵管正常,左侧卵巢颜色正常,体积增大如4×5×2cm~3,呈分叶状,其游离缘可见一3×3×1cm~3的咖啡色浆液性囊性物相连,蒂长而细,并有一粘连带与左盆 Li × ×, female, 32 years old, farmer, hospital number 48266 Intrauterine pregnancy second 40 ~ (+?) Week, abdominal pain for 6 hours on March 20, 1990 admitted. The last menstruation June 8, 1989, the expected date of March 15, 1990. Admission in the progress of labor found fetal heart rate to slow, so due to fetal distress, the giant line of uterine cesarean section, smooth operation, delivered a male living baby, weight 4100g. Intraoperative examination of the right attachment is normal, the left fallopian tube is normal, the left ovary normal color, volume increases, such as 4 × 5 × 2cm ~ 3, lobulated, the free edge of a 3 × 3 × 1cm ~ 3 brown Serous cystic material connected, pedicle long and thin, and there is a sticky band and left basin