患者14岁。月经初潮后中下腹部持续性胀痛,伴左侧腰部酸痛并消瘦,于2006-04-18收治入院,入院1个月前自感外阴有一蚕豆大小肿物脱出,不能回纳,伴烧灼样痛。查体:下腹正中可触及一如孕4个月+大小包块,压痛明显,阴道外口见一2cm×1cm大小赘生物脱出,表面呈紫红色结痂,蒂部处于阴道 The patient is 14 years old. Menstrual cramps in the lower abdomen after continuous pain, with left lumbar pain and weight loss, admitted to hospital on April 18, 2006, 1 months ago admitted to the vulva has a broad bean-sized tumor prolapse, can not return satisfied, with burning kind pain. Check the body: the middle of the lower abdomen can be as good as 4 months of pregnancy + size of the mass, significant tenderness, vaginal orifice see a 2cm × 1cm size of vegetation prolapse, the surface was purple scab, pedicle in the vagina