患者女 ,1 3岁。因腹痛 1天急诊入院。病后无呕吐及发热 ,未排大便。既往体健。月经未初潮。体查 :下腹部隆起 ,可扪及一直径 1 0 cm包块 ,轻压痛 ,叩诊实音 ,活动可。直肠检查 :子宫位于瘤体后下方 ,幼稚型 ,可活动。外阴幼女型。实验室检查 :血 RBC 4 .2 5× 1 0 1 2 / L ,WB Female patient, 13 years old. 1 day emergency hospital for abdominal pain. No vomiting and fever after the illness, not row of stool. Past physical health. Menstrual early menarche. Physical examination: the lower abdomen bulge, palpable and a diameter of 10 cm mass, light tenderness, percussion real audio, activities can be. Rectal examination: The uterus is located in the bottom of the tumor, naive, can move. Vulva young girl type. Laboratory tests: Blood RBC 4 .2 5 × 10 12 / L, WB