卵巢卵黄囊癌较少见,伴自发性破裂者更少见。我们见到二例,均被误诊,现报告如下。 例一 女,24岁。下腹剧烈疼痛一小时急诊入院。疼痛为持续性伴阵发性加剧,不放射,无呕吐及腹泻。体查:下腹部明显肌紧张,压痛及反跳痛,以脐下偏右为重,闭孔内肌征及腰大肌征均为(±)。诊断为阑尾炎行剖腹探查。术中发现腹腔积血约300ml,右卵巢有12×10×10cm大的灰白色包块,表面 Ovarian yolk sac cancer is less common, with spontaneous rupture is even more rare. We have seen two cases, were misdiagnosed, are as follows. A female, 24 years old. Severe abdominal pain one hour emergency admission. Pain is persistent with paroxysmal exacerbations, no radiation, no vomiting and diarrhea. Physical examination: the lower abdomen was significantly muscle tone, tenderness and rebound tenderness, to the right under the umbilical weight, obstruction of the obturator and psoas levy were (±). Diagnosis of appendicitis line laparotomy. Intra-articular hemorrhage found about 300ml, right ovary 12 × 10 × 10cm large gray mass, the surface