患者女,19岁。2年前无明显诱因出现下腹隐痛,自经期开始,经净后腹痛加剧,无放射性疼痛,无恶心、呕吐,无畏寒、发热,无腹胀,无月经改变及白带异常,无腰骶坠胀感。14岁行经,经型3/25-28天,色暗红,有痛经,未婚未育,否认性生活史。专科查体:外阴发育正常,无溃疡,无赘生物,余未查。肛腹诊:子宫偏盆腔右侧,稍饱满,质韧,轻压痛,活动 Female patient, 19 years old. 2 years ago there was no obvious incentive to lower abdominal pain, menstrual period, the net post-abdominal pain intensified, no radiating pain, no nausea, vomiting, no chills, fever, no bloating, no menstrual changes and vaginal discharge, no lumbosacral dilatation . 14-year-old menstrual, by type 3 / 25-28 days, dark red, dysmenorrhea, unmarried, have denied sexual life history. Specialized examination: normal vulva development, no ulcers, no neoplasms, I did not check. Rectal examination: the right side of the uterine partial pelvic, slightly full, quality and tough, light tenderness, activity