1 病例报告 患者女,41岁,平素月经周期规律,闭经52天,恶心,呕吐1周。妇科检查:外阴发育好,阴道通畅,分泌物量少无味,宫颈紫兰色、无靡烂,宫体前位、鸭卵大、质软、无压痛、活动度好,双侧附件未见异常。尿TT(+),白带常规:清洁度Ⅰ。既往患子宫肌瘤,B超提示:子宫前壁肌壁间肌瘤3.5×4.0cm,行人流手术,术中顺利,出血量不多。术后腹痛呈持续性,阴道流血量不多。当晚11时许,腹痛剧烈伴有恶心、呕吐,在门诊注射止痛剂缓解。次日凌晨4时许,再次剧裂腹痛,呈持续性绞痛不能缓解。查体:腹平坦,腹肌紧张 A case report of female patients, 41 years old, usually menstrual cycle, amenorrhea for 52 days, nausea, vomiting for 1 week. Gynecological examination: good vulva development, vaginal patency, less odorless secretions, cervical purple, no malaria, Palace anterior, duck eggs large, soft, no tenderness, good activity, no abnormal bilateral attachments . Urine TT (+), vaginal discharge routine: cleanliness Ⅰ. Previously suffering from uterine fibroids, B-ultrasound Tip: uterine anterior wall muscle myomectomy 3.5 × 4.0cm, pedestrian flow surgery, intraoperative well, small amount of bleeding. Postoperative abdominal pain was persistent, small amount of vaginal bleeding. 11 o’clock that night, severe abdominal pain accompanied by nausea, vomiting, pain relief in the outpatient injection. 4 o’clock the next day, once again drama cracked abdominal pain, sustained colic can not be alleviated. Physical examination: abdominal flat, abdominal muscle tension