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

D Habek, Dubravko Habek, Habek D, Habek JC, Jasna Cerkez Habek, Jasna Čerkez Habek, Ante Barbir, Barbir A, Barbir M, Mira Barbir
Archives of gynecology and obstetrics · 2003 · vol. 267(3) , pp. 175–176 · doi:10.1007/s00404-001-0269-0 · PMID:12552333 · W1969259627
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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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This case report describes a patient presenting with acute abdomen syndrome caused by a ruptured malignant ovarian granulosa cell tumor that had penetrated the fallopian tube. Surgical intervention initially involved a right-sided salpingo-oophorectomy, appendectomy, and peritoneal washings, followed by a second laparotomy for hysterectomy and left-sided salpingo-oophorectomy after histological confirmation of FIGO IIA classification. Intraoperative findings during the second procedure also revealed adenomyosis and chronic cervicitis, although no metastatic spread was detected. The patient remained disease-free for eleven years post-surgery without clinical, biochemical, or ultrasonographic signs of relapse. Relevance to endometriosis: adenomyosis is listed as a concurrent intraoperative finding alongside the primary ovarian malignancy.

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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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