1 病例报告 患者,28岁,已婚。右下腹隐痛7天,伴恶心,无呕吐、腹泻,不发热。查体:腹平软,肝脾未触及肿大,右下腹麦氏点下方触痛(+),触及一女拳大小包块,边界清,质韧。妇检:阴道、宫颈无异常,子宫前位,正常大小,质中,活动度好,右侧附件触及包块,有压痛,后穹窿有轻触痛。B超示:右侧附件实质性包块。曾孕产,14岁月经初潮,经型3～4/30～40量中,近2个月 1 case report patient, 28 years old, married. Right lower abdomen pain for 7 days, with nausea, no vomiting, diarrhea, no fever. Physical examination: abdominal soft, liver and spleen did not touch the swollen, right lower abdomen below the McNamara point tenderness (+), touching a female box size mass, boundary clearance, quality toughness. Gynecological examination: vagina, cervical abnormalities, anteroposterior uterine, normal size, quality, activity is good, the right attachment touches the mass, tenderness, posterior fornix tenderness. B show: the right annex substantial mass. Have pregnant, 14 years of menarche, by type 3 ~ 4/30 ~ 40 amount, nearly 2 months