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

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...

Full description

Saved in:
Bibliographic Details
Main Authors: Tufan Oge, S. Sinan Ozalp, Omer T. Yalcin, Sare Kabukcuoglu, Emine Arslan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2012/451631
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850227505132208128
author Tufan Oge
S. Sinan Ozalp
Omer T. Yalcin
Sare Kabukcuoglu
Emine Arslan
author_facet Tufan Oge
S. Sinan Ozalp
Omer T. Yalcin
Sare Kabukcuoglu
Emine Arslan
author_sort Tufan Oge
collection DOAJ
description 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.
format Article
id doaj-art-1375a515a2a44a478657dc90527eb6b1
institution OA Journals
issn 2090-6706
2090-6714
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Oncological Medicine
spelling doaj-art-1375a515a2a44a478657dc90527eb6b12025-08-20T02:04:49ZengWileyCase Reports in Oncological Medicine2090-67062090-67142012-01-01201210.1155/2012/451631451631Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal WomanTufan Oge0S. Sinan Ozalp1Omer T. Yalcin2Sare Kabukcuoglu3Emine Arslan4Department of Obstetrics and Gynecology, Eskisehir Osmangazi University School of Medicine, 26100 Eskisehir, TurkeyDepartment of Obstetrics and Gynecology, Eskisehir Osmangazi University School of Medicine, 26100 Eskisehir, TurkeyDepartment of Obstetrics and Gynecology, Eskisehir Osmangazi University School of Medicine, 26100 Eskisehir, TurkeyDepartment of Pathology, Eskisehir Osmangazi University School of Medicine, Eskisehir, TurkeyDepartment of Obstetrics and Gynecology, Eskisehir Osmangazi University School of Medicine, 26100 Eskisehir, TurkeyAcute 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.http://dx.doi.org/10.1155/2012/451631
spellingShingle Tufan Oge
S. Sinan Ozalp
Omer T. Yalcin
Sare Kabukcuoglu
Emine Arslan
Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman
Case Reports in Oncological Medicine
title Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman
title_full Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman
title_fullStr Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman
title_full_unstemmed Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman
title_short Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman
title_sort ruptured granulosa cell tumor of the ovary as a cause of acute abdomen in postmenopausal woman
url http://dx.doi.org/10.1155/2012/451631
work_keys_str_mv AT tufanoge rupturedgranulosacelltumoroftheovaryasacauseofacuteabdomeninpostmenopausalwoman
AT ssinanozalp rupturedgranulosacelltumoroftheovaryasacauseofacuteabdomeninpostmenopausalwoman
AT omertyalcin rupturedgranulosacelltumoroftheovaryasacauseofacuteabdomeninpostmenopausalwoman
AT sarekabukcuoglu rupturedgranulosacelltumoroftheovaryasacauseofacuteabdomeninpostmenopausalwoman
AT eminearslan rupturedgranulosacelltumoroftheovaryasacauseofacuteabdomeninpostmenopausalwoman