继输卵管妊娠四年伴有宫内妊娠自然分娩发生者罕见,临床易误诊。本例后经仔细询问病史和剖腹探查而确诊,现报告如下。李××,女,23岁,农民,河南登封县人。住院号445,于1975年11月24日门诊以卵巢肿瘤可疑恶变而收容入院。主诉左下腹有一肿块四年,迅速增大7个月。患者18岁结婚,婚后一年余闭经、闭经后伴恶心、纳差。三个月后发现左下腹有一包块逐渐增大。四个月时因剧烈腹痛,晕厥去公社医院就诊疑为“宫 Following the four-year follow-up of tubal pregnancy with intrauterine pregnancy, natural childbirth is rare, clinical misdiagnosis. After careful examination of case history and laparotomy confirmed, the report is as follows. Li × ×, female, 23 years old, farmer, Dengfeng County, Henan Province. Hospital No. 445, November 24, 1975 out-patient suspicious ovarian tumor malignant and admitted to hospital. Chief complaint left lower quadrant a lump of four years, a rapid increase of 7 months. 18-year-old married, more than a year after amenorrhea, amenorrhea with nausea, anorexia. Three months later found a piece of left lower quadrant gradually increased. Four months due to severe abdominal pain, syncope to the commune hospital for treatment suspected "palace