Acute abdomen with hemoperitoneum in a postmenopausal woman

Borah, Tulon; Das, Ananya; Panda, Sasmita; Singh, Ahanthem Santa

doi:10.4103/0976-7800.76220

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Granulosa cell tumors grow to be highly vascular, making them prone to hemorrhagic rupture [3] . Patient presentation of a hemorrhagic GCT is nonspecific and does not always present as hemorrhagic shock [11] , [12] , [13] . The differential diagnosis for spontaneous intra-abdominal bleeding includes splenic rupture, ruptured ovarian cysts, ectopic pregnancy, ruptured abdominal aorta aneurysms and visceral artery aneurysms, and pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

Ruptured granulosa cell tumor of the ovary presenting with catastrophic intra-abdominal hemorrhage: A case report

Smith

Kappus

Mojica

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Ruptured granulosa cell tumor of the ovary presenting with catastrophic intra-abdominal hemorrhage: A case report

Smith

Kappus

Mojica

et al. 2022

International Journal of Surgery Case Reports

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“…Acute abdomen with haemoperitoneum is a common gynaecological emergency but is rare in postmenopausal women. The diagnosis is more difficult to make in postmenopausal women as compared to those in reproductive age [ 1 , 7 ]. According to literature, the rupture of a granulosa cell tumour (GCT) of the ovary is a rare but possible reason of haemoperitoneum due to the high vascularity of the mass, with an estimated rate of 10% [ 8 , 9 ] to 15–17.6% [ 1 , 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Patients might also report a reduction in vasomotor symptoms because of suppressed FSH by high oestrogen levels [ 7 ]. In uncertain cases testing for FOXL2 mutation can help with diagnosis, as 97% of adult GCT showed mutation of this gene [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Granulosa cell tumour of the ovary complicated by spontaneous haemoperitoneum in menopause – a case report and systematic review of the literature

Babbo¹,

Stabile²,

Scalia³

et al. 2023

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Introduction: A possible cause for acute abdomen is haemoperitoneum resulting from the rupture of an ovarian tumour. Here we discuss a case of spontaneous haemoperitoneum caused by granulosa cell tumour (GCT) rupture in a postmenopausal woman.Material and methods: We present a systematic review of the current literature to draw attention to this rare gynaecological complication and provide guidance about the most appropriate management.Results: Eight case reports and one retrospective study were identified. A total of 11 patients were analysed in this review including the present case report. The first case was described in 1948, while the last one was in 2019. The mean age of the patients was 60.8 years. All cases were treated with primary surgery. The mean diameter of the masses was 10.1 cm.Discussion: We found endometrial pathology in 45% of the cases, of which 4 (36%) were associated with postmenopausal bleeding. The presentation of GCT is not always in the form of overt endocrine disturbance but can onset (10-15%) with acute abdomen.Conclusions: Granulosa cell tumour should remain in the differential diagnosis of all patients presenting with acute abdomen and imaging suspicious for gynaecological malignancy originating from the ovary.

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“…Lee et al reported that tumor rupture occurred in 17.6% of cases before surgery diagnosed as adult granulosa cell tumor but the pain did not present as a cause of acute abdomen [ 1 ]. To the best of our knowledge, there are four cases of hemoperitoneum because of ruptured granulosa cell tumor [ 2 – 5 ]. We report a 54-year-old postmenopausal woman who presented with acute abdomen and hemoperitoneum because of ruptured granulosa cell tumor.…”

Section: Introductionmentioning

confidence: 99%

Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman

Öge

Ozalp

Yalçın

et al. 2012

Case Reports in Oncological Medicine

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Acute abdomen with hemoperitoneum is a very rare entity in postmenopausal women due to gynecologic conditions. A 54-year-old, postmenopausal woman was brought to emergency department with severe abdominal pain. Physical examination revealed acute abdomen findings with 15 cm pelvic mass on the right adnexal region. Immediate exploratory laparotomy was performed. During laparotomy 1000 cc of bloodstained fluid, ruptured and actively bleeding large mass arising from right ovary was observed. Right salpingo-oopherectomy was performed in emergency conditions, and pathology report revealed an adult type of granulosa cell tumor. After this result, staging surgery was performed and patient was diagnosed as granulosa cell tumor stage 1 c. Cisplatin, etoposide, and bleomycin chemotherapy was given. Clinicians should be aware of granulosa cell tumors which may occur at any age and prone to rupture. Frozen section will be helpful in order to avoid incomplete surgeries especially in postmenopausal women presented with intra-abdominal bleeding.

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Acute abdomen with hemoperitoneum in a postmenopausal woman

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 70-year-old woman who presented with acute abdomen and hemoperitoneum.

Cited by 4 publications

References 6 publications

Ruptured granulosa cell tumor of the ovary presenting with catastrophic intra-abdominal hemorrhage: A case report

Ruptured granulosa cell tumor of the ovary presenting with catastrophic intra-abdominal hemorrhage: A case report

Granulosa cell tumour of the ovary complicated by spontaneous haemoperitoneum in menopause – a case report and systematic review of the literature

Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman

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