患者,女性,43岁。以“慢性下腹部疼痛半年,加重4日转右下腹痛伴发热1日”收住本院。患者半年来无明显诱因自感下腹部间断性隐痛,以右侧下腹稍重,伴坠胀感,无尿频、尿急、尿痛,无阴道出血及异常分泌物,与月经无明显联系,亦无低热,无里急后重。曾于当地妇幼保健院诊治,诊为“盆腔 Patient, female, 43 years old. To “chronic lower abdominal pain for six months, aggravating the right lower quadrant abdominal pain with fever on the 1st” to receive this hospital. No obvious incentive for six months since the patient had intermittent abdominal pain, lower abdomen with a slight weight on the right, with a sense of bulge, no urinary frequency, urgency, dysuria, no vaginal bleeding and abnormal secretions, no significant relationship with the menstruation, nor Low heat, no tenesmus. Have a local maternal and child health hospital diagnosis and treatment, diagnosed as "pelvic