Although granulosa cell tumors of the ovary are not rare, only a few reports of severe intraperitoneal bleeding from them have appeared in the literature.1 Such a case is here reported, with bleeding severe enough to cause an acute surgical emergency in which the diagnosis was obscure before operation.
REPORT OF CASE
History.—
T. J., a white housewife aged 55, was admitted to the Brooklyn Hospital Oct. 25, 1948 complaining of severe abdominal pain. For a month previously she had suffered from vague, mild, generalized abdominal pain. Three days before admission, the patient experienced a sudden sharp pain in the right upper portion of the abdomen from right to left. The pain then abated considerably but continued to bother her until the day of admission. On that day it became exceedingly severe. It was cramplike, across the upper part of the abdomen, and spread toward the pubis. It