患者女,20岁,未婚。于2006-09-01无明显诱因出现剧烈腹痛就诊,入院查体:腹部稍膨隆,压痛、反跳动,肌紧张,腹部移动浊音阳性。当地医院诊断考虑为“黄体破裂”予手术治疗,好转出院。10月18日晚,患者再次因腹痛就诊,B 超提示:脾大,腹腔积液。诊断为:(1)腹腔内出血;(2)黄体破裂待查。行剖腹探查术,术中见腹腔积血2200 nmL,广泛粘连,脾大。予抗炎、止血、输血及对症支持 Female patient, 20 years old, unmarried. No obvious incentive in 2006-09-01 severe abdominal pain treatment, admission examination: abdominal slightly bulging, tenderness, anti-bounce, muscle tension, abdominal movement dullness positive. Local hospital diagnosis considered as “luteal rupture ” to surgery, improved discharged. The evening of October 18, the patient again because of abdominal pain treatment, B-Tip: splenomegaly, ascites. Diagnosis is as follows: (1) intraperitoneal hemorrhage; (2) corpus luteum rupture pending investigation. Laparotomy, intraoperative blood see 2200 nmL, extensive adhesions, splenomegaly. To anti-inflammatory, hemostatic, blood transfusion and symptomatic support