[病例摘要] 例1:姜×,33岁。孕2产2。该患者于一年前无意中发现下腹部有一活动良好的肿块,伴有持续性下腹部隐痛,且在月经来潮前3～4天开始加重,当月经来潮一天之后逐渐缓解,但仍有持续性腹痛。近十余天来左下腹部包块增大变硬,不活动且有疼痛加重而来院急诊。既往月经周期规律,无痛经史。4年前曾患“肠结核”、“肠粘连”在当地医院治疗后痊愈。妇科检查:阴道粘膜及宫颈充血;子宫后位,正 [Case Summary] Example 1: Ginger ×, 33 years old. 2 pregnant 2. A year ago, the patient inadvertently found a well-moving mass in the lower abdomen with persistent lower abdominal pain and began to aggravate 3 to 4 days before menstruation, gradually ameliorating when the menstrual cramps one day later, but there was still persistence stomach ache. In the past ten days or so, the left lower abdomen mass increased and hardened, and the activity was aggravating and pain came from the hospital emergency room. Previous menstrual cycle rules, history of painless. 4 years ago suffering from “intestinal tuberculosis”, “intestinal adhesion” cured at the local hospital after treatment. Gynecological examination: vaginal mucosa and cervical congestion; posterior uterus, positive