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

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This paper describes a rare case of acute abdomen caused by a ruptured ovarian granulosa cell tumor and subsequent treatment, resulting in a long-term disease-free survival.

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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.
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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. Similar content being viewed by others Author information Authors and Affiliations Additional information Received: 3 August 2001 / Accepted: 8 October 2001 Correspondence to D. Habek Rights and permissions About this article Cite this article Habek, D., Čerkez Habek, J., Barbir, A. et al. Ruptured ovarian granulosa cell tumors as a cause of the acute abdomen. Arch Gynecol Obstet 267, 175–176 (2003). https://doi.org/10.1007/s00404-001-0269-0 Issue date: DOI: https://doi.org/10.1007/s00404-001-0269-0

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MeSH descriptors

Abdomen, Acute Granulosa Cell Tumor Ovarian Neoplasms Appendectomy Fallopian Tubes Fallopian Tubes Female Granulosa Cell Tumor Granulosa Cell Tumor Granulosa Cell Tumor Humans Middle Aged Omentum Omentum Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ovariectomy Peritoneal Lavage Rupture, Spontaneous

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