1诊断右侧卵巢子宫内膜异位囊肿破裂合并盆腔腹膜炎;盆腔子宫内膜异位症;双侧输卵管积水;继发不孕。2诊断依据及分析2.1患者因“月经期右下腹隐痛2天,加重12小时”入院。患者在月经期右下腹隐痛2天,12小时前患者于卫生间滑到后腹部疼病加重,休息后不缓解,伴有轻度恶心,肛门坠胀感。查体:面容痛苦,平车推入病房,体温38.5℃,有肌紧张,下腹压痛,以右下腹为主,伴有反跳痛。妇科检查:宫颈举痛阳性,宫体前位,略大,压痛阳性,活动度尚可:双侧附件区均有压痛,右侧为重。盆腔B超检查:子宫正常大小,肌层回声均匀,宫腔线分离; 1 diagnosis of the right ovarian endometriosis Cyst rupture with pelvic peritonitis; pelvic endometriosis; bilateral hydrosalpinx; secondary infertility. 2 based on the diagnosis and analysis 2.1 patients due to “menstrual pain in the right lower quadrant 2 days, increased 12 hours ” admission. Patients with pain in the right lower quadrant during the menstrual pain 2 days, 12 hours before sliding to the bathroom in patients with abdominal pain worse, no rest after rest, accompanied by mild nausea, anal bulge. Physical examination: facial pain, flat car into the ward, body temperature 38.5 ℃, muscle tension, abdominal tenderness, mainly to the right lower quadrant, accompanied by rebound tenderness. Gynecological examination: Cervical pain was positive, the anterior palace, slightly larger, tenderness positive, activity was acceptable: bilateral attachment area are tenderness, the right is heavy. Pelvic B-ultrasound: the normal size of the uterus, muscular echo uniform, uterine line separation;