25岁，初产妇，足月妊娠，顺产。产后2 天起床后突然剧烈左下腹痛伴恶心呕吐。 妊娠期间有左下腹痛2次，经翻身疼痛减 轻。检查宫底脐下1横指，子宫左侧可触 及界限尚清楚的包块，拳头大小，压痛明 显。应首先考虑为下列哪种情况(       )

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