Abstract
As the number of postmenopausal women increases, physicians will have more opportunities to treat elderly women with gynecological complications. This case report describes a 76-year-old, obese, multiparous woman, known to have gallstones who presented with acute abdomen complaints and was admitted for observation. Treatment was delayed until significant blood loss was recognized. At laparotomy, a ruptured ovarian granulosa cell tumor was found.
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- Adedeji O. A., McAdam W. A. Murphy's sign, acute cholecystitis and elderly people. J R Coll Surg Edinb. 1996 Apr;41(2):88–89. [PubMed] [Google Scholar]
- Björkholm E. Granulosa cell tumors: A comparison of survival in patients and matched controls. Am J Obstet Gynecol. 1980 Oct 1;138(3):329–331. doi: 10.1016/0002-9378(80)90257-4. [DOI] [PubMed] [Google Scholar]
- Burnett L. S. Gynecologic causes of the acute abdomen. Surg Clin North Am. 1988 Apr;68(2):385–398. doi: 10.1016/s0039-6109(16)44484-1. [DOI] [PubMed] [Google Scholar]
- Cassina P., Röthlin M., Largiadèr F. Die Effizienz der chirurgischen Grunddiagnostik beim akuten Abdominalschmerz. Chirurg. 1996 Mar;67(3):254–260. [PubMed] [Google Scholar]
- Hill K. The demography of menopause. Maturitas. 1996 Mar;23(2):113–127. doi: 10.1016/0378-5122(95)00968-x. [DOI] [PubMed] [Google Scholar]
- Kauvar D. R. The geriatric acute abdomen. Clin Geriatr Med. 1993 Aug;9(3):547–558. [PubMed] [Google Scholar]
- Miller B. E., Barron B. A., Wan J. Y., Delmore J. E., Silva E. G., Gershenson D. M. Prognostic factors in adult granulosa cell tumor of the ovary. Cancer. 1997 May 15;79(10):1951–1955. doi: 10.1002/(sici)1097-0142(19970515)79:10<1951::aid-cncr16>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
- Parker J. S., Vukov L. F., Wollan P. C. Abdominal pain in the elderly: use of temperature and laboratory testing to screen for surgical disease. Fam Med. 1996 Mar;28(3):193–197. [PubMed] [Google Scholar]
- Peters W. A., 3rd, Thiagarajah S., Thornton W. N., Jr Ovarian hemorrhage in patients receiving anticoagulant therapy. J Reprod Med. 1979 Feb;22(2):82–86. [PubMed] [Google Scholar]
- Rabinovici J., Frenkel Y., Goldwasser B., Menczer J., Serr D. M. Acute abdominal condition caused by retrograde bleeding in a postmenopausal patient on estrogen-progestogen therapy. Am J Obstet Gynecol. 1985 Nov 15;153(6):677–678. doi: 10.1016/s0002-9378(85)80259-3. [DOI] [PubMed] [Google Scholar]