患者,女,29岁,海南琼山县人。因停经54天,伴早孕反应,近周来下腹部疼痛而入院,经检查诊断输卵管妊娠,行剖腹探查,术中见右侧输卵管显著肿大充血,峡部有一暗红色包块,约6×5×4cm,与大网膜粘连,未破溃,切除该侧输卵管,患者于半年多前已因左侧输卵管妊娠而手术,此次住院11天出院,病理报告为输卵管绒毛膜癌。尔后不久,下腹又感疼痛,有时甚烈,兼有(口恶) Patient, female, 29 years old, Hainan Qiongshan people. Due to menopausal 54 days, with early pregnancy reaction, recent weeks to lower abdominal pain and admission, after diagnosis of tubal pregnancy, laparotomy exploration, intraoperative see the right side of the oviduct significantly enlarged congestion, isthmus has a dark red mass, about 6 × 5 × 4cm, with the omentum adhesion, undamaged, resection of the side of the fallopian tube, the patient had more than six months ago because of the left tubal pregnancy and surgery, the hospital discharge 11 days, the pathological report of tubal choriocarcinoma. Shortly after, the lower abdomen and pain, sometimes very strong, both (bad breath)