卵巢、输卵管扭转属罕见的妇科急腹症,因无特殊临床表现极易误诊,将我院1989—1995年发现三例报告如下。 例1、24岁,已婚,孕产。孕4月,突发性下腹坠疼3小时于1989年2月22日入院。入院前3小时突然出现下腹坠疼、未见红。查体:T36℃,BP16/10kpa,心肺正常,腹部略膨隆,子宫无收缩,右下腹有压疼,在子宫的右上方可触及一个如鸡蛋大小包块,压痛明显。入院后腹疼加剧,考虑为右侧卵巢囊肿蒂扭转行剖腹探查术,术中可见,腹腔内有血性渗出少许,右侧卵巢增大6cm×5cm×3.5cm大小,呈紫黑色、右侧输卵管系膜充血,水肿呈暗紫色。右侧附件顺时针扭转720° Ovary and fallopian tube torsion is a rare gynecological acute abdomen, because no special clinical manifestations easily misdiagnosed, our hospital found three cases from 1989 to 1995 are as follows. Example 1,24 years old, married, motherhood. Pregnancy in April, sudden lower abdomen fall pain 3 hours in February 22, 1989 admission. 3 hours before admission suddenly appeared abdominal pain, no red. Physical examination: T36 ℃, BP16 / 10kpa, cardiopulmonary normal, slightly bulging abdomen, no contraction of the uterus, right lower quadrant with tenderness in the right upper corner of the uterus can reach a size such as egg mass mass, tenderness significantly. Abdominal pain after hospitalization intensified, consider the right ovarian cyst torsion line laparotomy, intraoperative visible bloody exudate a little, the right ovary increased 6cm × 5cm × 3.5cm size, was purple, the right Tubal congestion, edema was dark purple. The right attachment is twisted 720 ° clockwise