患者,女,23岁,已婚。主诉于妊娠9个月时,出现腹水,量多。待正常分娩后腹水仍不消。因尿少在当地医院以肾炎治疗。用“双氢克尿噻”及“速尿”治疗后尿量虽增多但腹水不消,明显消瘦。入院时查体:发育正常,营养一般,神志清。全身皮肤及粘膜无黄染及出血点。全身浅表淋巴结无肿大。心肺听诊无明显异常。腹部隆起,腹水征(+++)。肝脾触诊不满意,四肢及脊柱无异常发现。妇科检查:外阴(-),阴道畅,宫颈光滑,盆腔触诊不满意。于子宫直肠窝处可触及直径约5厘米肿物,固定。B超示盆腔实性肿物,大量腹水。在硬膜外麻醉下行剖腹探查术。术中见:腹 Patient, female, 23 years old, married. At 9 months of pregnancy, ascites occurred and there was a large amount. After the normal delivery, ascites still does not disappear. Because of urinary urinary nephritis in local hospitals. After treatment with “hydrochlorothiazide” and “furosemic”, the amount of urine increased but the ascites did not disappear, and was obviously wasted. Examination on admission: Normal development, nutrition, and clear mind. Body skin and mucous membranes are free from yellow staining and bleeding. Superficial lymph nodes are not swollen. There was no obvious abnormality in cardiopulmonary auscultation. Abdominal uplift, ascites sign (+++). The liver and spleen were not satisfied with palpation and no abnormalities were found in the limbs and spine. Gynecological examination: vulva (-), vaginal smooth, smooth cervical, pelvic palpation is not satisfied. In the uterus, rectal fossa can reach a diameter of about 5 cm, fixed. Ultrasonography showed solid masses in the pelvis with massive ascites. A laparotomy is performed under epidural anesthesia. See in operation: belly