患者女，３６岁。３年前因卵巢肿瘤合并腹水在外院手术。因粘连严重，肿瘤未能切除。取组织检查，病理诊断：卵巢浆液性乳头状瘤。术后腹胀渐加重，因影响日常生活来诊。查体：腹部胀大如鼓，前后径＞横径，腹围１６１ｃｍ，腹壁薄而亮，脐部向外膨出。腹部移动性浊音阴性；肠 Female patient, 36 years old. Three years ago, ovarian tumors were combined with ascites in the outpatient surgery. Due to severe adhesion, the tumor failed to be removed. Take tissue examination, pathological diagnosis: ovarian serous papilloma. Postoperative abdominal distension increases as it affects daily living. Physical examination: the abdomen swells like a drum, the anterior and posterior diameters> the transverse diameter, the abdominal circumference is 161cm, the abdominal wall is thin and bright, and the navel bulges outwards. Abdominal mobile dullness;