患者,女,29岁,农民。出生后就有下腹饱满史。20年前发现下腹肿大明显,未引起注意。近10年来下腹明显增大(见附图), 无任何不适。查体:心肺无异常,腹部膨隆,腹围167cm。全腹饱胀,无压痛,叩实音,无移动性浊音,肠鸣音未闻及,肝、脾未触及。B超显示“腹部巨大液性占位”,其它实验室检查正常。剖腹探查见:子宫及右侧附件大 Patient, female, 29 years old, farmer. After birth, there is full belly full history. Twenty years ago found lower abdominal swelling significantly, did not pay attention. Lower abdomen significantly increased in the past 10 years (see photo), without any discomfort. Physical examination: no abnormal heart and lungs, abdominal bulging, abdominal circumference 167cm. Abdominal fullness, no tenderness, knocking real tone, no mobility dullness, bowel sounds not heard, liver, spleen not touched. B-ultrasound showed “huge abdomen liquid space”, other laboratory tests were normal. Caesarean exploration see: the uterus and right attachment big