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作者在达累斯萨拉姆医院看到一名来自坦桑尼亚北部希尼安加的非洲妇女,年22岁,前3年有下腹部疼痛史,入院前2个月右侧髂凹部肿胀,近4天大便不规则,排尿困难。体检时,腹部有触痛,右髂凹有1个约12×12厘米的块,块有触痛、质软,能移动。阴道、女阴及子宫均正常。右穹窿明显触痛。右侧卵巢可触及,能移动,有囊肿。诊断为有骨盆脓肿的急性输卵管炎和有腹膜炎的可能。穿刺直肠子宫凹陷抽吸出2毫升浆性血色液体,检查粪、尿未见虫卵或胞囊。剖腹检查,从右侧卵巢到输卵管有1个炎性粘连的约12×12厘米的大囊肿,左侧卵巢亦有小的囊肿,于是
At Dar es Salaam Hospital, the author saw an African woman from Sinanga, northern Tanzania, aged 22 years with a history of lower abdominal pain in the first 3 years and a swelling of the iliac crease on the right 2 months before admission, nearly 4 Irregular stools, dysuria Physical examination, the abdomen has tenderness, the right iliac concave with a block of about 12 × 12 cm, the block has tenderness, soft, can move. Vaginal, vulva and uterus are normal. Right dome significantly tenderness. Right ovary palpable, able to move, cysts. Diagnosis of pelvic abscess with acute salpingitis and peritonitis may be. Puncture the rectum uterine depression sucked out 2 ml of plasma blood liquid, check the excrement, urine no eggs or cysts. Cesarean examination, from the right ovary to the fallopian tube has an inflammatory adhesions about 12 × 12 cm large cysts, the left ovary also has a small cyst, so