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HighlightsTraumatic rupture of the ovary due to blunt abdominal trauma is very rare and usually connected to ovarian cyst or teratoma.FAST and CT-angiography missed the ovary rupture, which was revealed by the exploratory research laparotomy.In a hemodynamic instable patient hemostasis is performed by ovarian artery ligation through laparotomy.Injury of the ovary should always be included in the differential diagnosis of blunt abdomen trauma in female patients.

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