患者,女,60岁,已婚。因绝经19年,下腹痛12d入院。患者于12d前无明显诱因出现持续性下腹疼痛,伴恶心、呕吐,发烧,体温3 9℃,曾于外院就诊,予以抗生素治疗,腹疼有所缓解。为进一步诊治来我院,门诊行彩超示:宫腔积脓,子宫穿孔,全腹腔积脓。患者发病以来饮食二便正常,无明显消瘦。 Patient, female, 60 years old, married. 19 years because of menopause, lower abdominal pain 12d admission. Patients with no obvious incentive before 12d persistent abdominal pain, with nausea, vomiting, fever, body temperature 39 ℃, had seen outside the hospital, antibiotics, abdominal pain relief. To further diagnosis and treatment to our hospital, outpatient line Choi ultrasound show: uterine empyema, uterine perforation, full abdominal empyema. Since the onset of the patient’s diet two will be normal, no significant weight loss.