1依据及分析①患者半月前无明显原因出现腰部坠胀,以右侧为甚,伴下腹持续性隐痛,近1周感上述症状加重,右大腿亦出现疼痛不适,活动受限。②查体,右下腹可触及一肿块,大小约10cm×9cm×8cm,有压痛,妇科检查,右侧附件区可扪及一12cm×10cm×10cm包块,活动差,有压痛。③B超,右附件 1 Basis and analysis ① There was no obvious cause of lumbar bulge in the patient half a month ago, the right side was even worse, with persistent abdominal pain in the abdomen, the symptoms were aggravated in the past week, and pain and discomfort in the right thigh were also found. ② physical examination, the right lower quadrant can reach a lump, the size of about 10cm × 9cm × 8cm, tenderness, gynecological examination, the right attachment area palpable mass 12cm × 10cm × 10cm, poor activity, tenderness. ③ B super, right attachment