患者女,23岁,未婚。因腹胀、腹部膨隆4个月,加重伴呕吐4d,急诊入院。体检:腹部膨隆,右上腹压痛,移动性浊音(+)。急诊科腹穿抽出1000ml咖啡样胶冻状液体。B超检查:子宫呈平位,大小54cm×35cm×36cm;盆腔内可见巨大椭圆形无回声区,其内可见密集的细小光点,囊壁的左前部分增厚;囊 Female patient, 23 years old, unmarried. Due to abdominal distension, abdominal bulging 4 months, aggravated with vomiting 4d, emergency admission. Physical examination: bulging abdomen, tenderness in the right upper quadrant, dullness of mobility (+). Emergency Department abdominal wear out of 1000ml coffee-like jelly-like liquid. B-ultrasound: the uterus was flat, the size of 54cm × 35cm × 36cm; pelvic cavity can be seen a huge oval echo-free area, which can be seen dense small light spots, the left front wall of the capsule thickening; capsule