BMJ Case Reports 2012; doi:10.1136/bcr.03.2012.6028
  • Reminder of important clinical lesson

Massive acute haemoperitoneum and shock from a ruptured ovarian varix

  1. Kazuyuki Yazawa
  1. Trauma and Critical Care Center, Suwa Red Cross Hospital, Suwa City, Japan
  1. Correspondence to Kazuyuki Yazawa, kazutora511{at}


A 38-year-old woman presented with shock and severe abdominal pain. Abdominal CT scanning demonstrated massive ascites, which was highly suggestive of haemoperitoneum. Diagnostic paracentesis confirmed haemoperitoneum. Urgent operative treatment with ligation of a ruptured ovarian varix successfully controlled the bleeding. She eventually made a full recovery.


  • Competing interests None.

  • Patient consent Obtained.

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