患者,15岁,学生,因下腹部疼痛2天,解血尿1天于1999年(?)月14日入院。自诉平素体健,未曾有月经来潮,亦无周期性腹痛病史。2日前感下腹部针剌样疼痛难忍且逐渐加重,昨日起解小便呈褐色,腹痛稍减轻。无发热、腹泻等不适。妇科检查:外阴女性,阴毛少,尿道口位置正常,无新生物。阴道前庭可见发育欠佳之处女膜。无阴道开口。肛诊:盆腔可及一小鸡蛋大小肌性物(似子宫),周围轮廓不清,在其下方可及一囊性肿物约5cm×4cm×4cm大小。B超检查示:子宫6.68cm×3.88cm×6.67cm大小,形态正常,回声均 Patient, 15 years old, student, pain due to lower abdomen 2 days, hematuria 1 day in 1999 (?) Month 14 admission. Private prosecution usually no health, no menstrual cramps, no history of periodic abdominal pain. 2 days ago under the acupuncture-like ache pain and aggravate, starting yesterday, urine was brown, abdominal pain slightly reduced. No fever, diarrhea and other discomfort. Gynecological examination: vulva women, pubic hair less, normal urethral orifice, no new life. Vaginal vestibule shows poor development of the hymen. No vaginal opening. Rectal examination: Pelvic size can reach a small egg size Muscular matter (like the uterus), the surrounding outline is unclear, below the cystic mass can be about 5cm × 4cm × 4cm size. B-ultrasound showed: the size of the uterus 6.68cm × 3.88cm × 6.67cm, normal morphology, echo are