Ruptured ovarian granulosa cell tumors as a cause of the acute abdomen

Abstract

A rare case of acute abdomen syndrome due to a ruptured ovarian tumor and a penetrated fallopian tube is described. Based on the intraoperative finding and patient's age, a right-sided salpingo-oophorectomy, appendectomy and peritoneal washings were performed. After a histological diagnosis of malignant granulosa cell tumors and FIGO IIA clinical classification, the patient returned 1 month after the procedure. A relaparotomy with a hysterectomy, left-sided salpingo-oophorectomy and omentectomy were then performed. No spread was found during the laparotomy, and the histologic diagnosis pointed to adenomyosis and chronic cervicitis. The patient regularly presents for control examination, and has now been free for 11 years since the surgery from clinical, biochemical or ultrasonographic signs of a relapse of the disease.

Acute abdomen with hemoperitoneum in a postmenopausal woman

“…[7] Another case of ruptured ovarian granulosa cell tumor presenting as acute abdomen was reported by D. Habek et al . [8]…”

Diagnostisch-therapeutisches Management des akuten Abdomens in Hajah (Jemen)

“…Das akute Abdomen während der Schwangerschaft stellt eine eigene Problematik dar, wie überhaupt bei Frauen die differenzialdiagnostische Palette um gynäkologische Erkrankungen zu erweitern ist [14,19,25].…”