患者女，27岁，农民，已婚。因停经、反复发作腹痛17月，阴道溢粪3月入院。17月前，患者因中孕死胎，行人工流产钳夹术后，恶露持续月余，以后即停经，每月周期性下腹疼痛3～4天，并出现下腹部包块。3月前，因上述症状到某医院就诊，发现下腹部有一拳头大小之包块，行刮宫术，术后4天，出现阴道内流出粪便，无腹痛，经对症、抗感染治疗后，粪便减少，流出少许黄色粘液，腹块未消失入我院。检查：一般情况好，下腹稍膨隆，全腹软，无压痛，肝脾未扪及，下腹正中偏右可扪及10×10×8cm之包块，质硬，边界清楚，表面光滑，不活动，有压痛。B超 Female patient, 27 years old, farmer, married. Due to menopause, recurrent abdominal pain in 17 months, vaginal overflow manure admitted in March. 17 months ago, the patient died of pregnancy in pregnancy, abortion clamp, the lochia continued for more than a month, after that menopause, monthly abdominal pain of 3 to 4 days, and the lower abdomen mass. 3 months ago, due to the above symptoms to a hospital, found a fist-sized mass in the lower abdomen, the line curettage, 4 days after the emergence of intra-vaginal discharge of stool, no abdominal pain, symptomatic, anti-infective treatment, stool reduction , Out of a little yellow mucus, abdominal mass did not disappear into our hospital. Check: the general situation is good, lower abdomen slightly bulging, full belly soft, no tenderness, liver and spleen not palpable, lower right middle center palpable and 10 × 10 × 8cm mass, hard, clear boundary, smooth surface, inactive There is tenderness. B super