患者51岁。因“发现腹部包块3个月,下腹痛5天”于2007年11月8日入我院。既往月经规律,现停经1年,无阴道流血及排液,糖尿病病史2年。查体:体温37·1℃,下腹部可触及一包块,上极达脐上一横指,偏向右下腹,形态不规则,质硬,活动度差,触痛阳性。妇科检查:子宫右前方可触及一儿头大质 Patient 51 years old. Because of “found abdominal mass 3 months, lower abdominal pain 5 days” on November 8, 2007 into our hospital. Past menstrual regularity, now stop menstruation for 1 year, no vaginal bleeding and discharge, a history of diabetes for 2 years. Physical examination: body temperature 37 · 1 ℃, the lower abdomen can reach a mass, on the umbilical pole on a cross, tend to the right lower quadrant, irregular shape, hard, poor mobility, tenderness positive. Gynecological examination: the right front of the uterus can reach a big head of quality