No abstract

Gynecological emergencies may be encountered in postmenopausal ladies like that of ruptured ectopic pregnancy in the reproductive age group. We report a case of ruptured granulosa cell tumor in a 60-year-old woman who presented with acute abdomen and hemoperitoneum. How to cite this article Kakani A, Pryadarsani N, Shrivastava D. A Ruptured Granulosa Cell Tumor of Ovary in a Postmenopausal Women presented with Acute Abdomen. J South Asian Feder Obst Gynae 2012;4(3):167-168.

Vaginal fibroids are very rare tumor of vagina and it is difficult to rule out its origin as a primary vaginal or its connection with cervix or uterus preoperatively. We are presenting a case of vaginal fibroid diagnosed postoperatively.

Dermoid cyst in postmenopausal women is a rare entity. It is seen most commonly in young reproductive age group. It constitutes about 10 to 20% of all ovarian tumors in pregnancy. Chance of malignancy is about 1-2%, torsion is common.Here, we have presented an unusual case of dermoid cyst in a postmenopausal woman who presented with complaints which were not directly related to the cyst. A 16-week mass per abdomen was not bothering the patient at all, rather she presented in the OPD with a mass coming out per vaginum, which was a third degree uterocervical descent. Patient was posted for vaginal hysterectomy and the cyst was removed perabdominally.

Prune belly syndrome is a congenital abnormality of unknown etiology with characteristic features: Deficient development of abdominal muscles that causes the skin of the abdomen to wrinkle like a prune, cryptorchidism, abnormalities of the urinary tract. It is associated with high incidence of fetal and neonatal mortality. It can be diagnosed at 16 weeks during routine ultrasound and can be managed by fetal therapy. In rural setup women are neither visiting for routine anomaly scan nor affording for fetal therapy, hence termination of pregnancy remains the only option.