1临床资料患者38岁。因腹胀伴食欲下降半年于2006年11月28日入院。半年前起无明显诱因出现腹胀、食欲下降,于当地医院行腹部超声检查发现盆腔积液,诊断为盆腔炎,给予青霉素静滴半个月,1个月后复查仍有盆腔积液。于后穹窿穿刺,抽出5mL乳糜样液体。实验室检查提示炎性积液。病后4 1 clinical data 38-year-old patient. Due to abdominal distension with loss of appetite six months on November 28, 2006 admission. Six months ago there was no obvious incentive to appear bloating, loss of appetite, abdominal ultrasound found in the local hospital pelvic fluid examination, diagnosis of pelvic inflammatory disease, penicillin given intravenously for half a month, one month after the review there is still pelvic fluid. In the culdocentesis, out of 5mL chylous-like liquid. Laboratory tests suggest inflammatory fluid. After the illness 4