A 28-year-old female patient came to the doctor for 41 days of menopause and intermittent abdominal pain for 4 days. 12 years old with menarche

4th pregnancy

1 miscarriage

2 times

regular menstrual cycle

30-day cycle

this time there was vaginal bleeding once after 30 days of menopause

the amount was less than usual. 4 days ago

there was no obvious incentive for lower abdominal distension and pain

which lasted for 1+ hours and improved

and then intermittent dull pain. Gynecological examination: thickening of the right adnexal area

mild tenderness

smooth cervix

no lifting pain

closed cervix

no bleeding. Laboratory tests: urine HCG was positive.