1病例报告例1患者女,23岁。因进行性痛经10年,加重2年,阴道出血50天入院。自诉10年前月经初潮即出现经期痉挛性下腹痛,能忍受。曾行超声检查,提示右侧卵巢囊肿。近2年痛经逐渐加重,并伴恶心、呕吐,服用镇痛药疼痛亦不能缓解,多次复查超声,提示右侧卵巢囊肿增大。50天前无诱因出现阴道出血,量少,但淋漓不尽。入院后行超声检查,盆腔右侧可见一约15cm×14cm×13cm大小囊性肿物。追问手术史,曾行阑尾切 1 case report 1 patient female, 23 years old. Due to progressive dysmenorrhea 10 years, increased 2 years, vaginal bleeding 50 days admission. Self-prosecution Ten years ago, menstrual cramps that appear under the spasmodic lower abdominal pain, can tolerate. Had ultrasound examination, suggesting that the right ovarian cysts. Dysmenorrhea over the past 2 years gradually increased, with nausea and vomiting, analgesic pain can not be relieved, repeated ultrasound, suggesting that the right ovarian cysts increased. 50 days ago there is no incentive to vaginal bleeding, less, but dripping. Ultrasound examination after admission, the right pelvic visible a size of about 15cm × 14cm × 13cm cystic mass. Asked the history of surgery, had cut appendectomy