Case history
Case history
A 61-year-old woman presents with 3 months of progressively worsening abdominal bloating and early satiety. She sought medical evaluation 2 months ago and was told she might have irritable bowel syndrome. On examination, the patient is in no acute distress. Her abdomen is dull to percussion and distended with minimal tenderness. A fluid wave is present. On pelvic examination, the cervix appears normal but is slightly deviated to the right. On bi-manual and recto-vaginal examination, a mass is palpable in the left adnexa extending down into the cul-de-sac.
Other presentations
Patients with early-stage disease are typically asymptomatic. Some patients with early-stage disease present with acute pelvic/abdominal pain or pressure due to ovarian torsion.[2] Patients may also have acute onset of lower abdominal pain with associated nausea and emesis.
The majority of patients present with advanced-stage disease when signs and symptoms appear.[2] Signs and symptoms are typically vague/non-specific and gastrointestinal-related (e.g., abdominal bloating, nausea and emesis, early satiety, dyspepsia, increased abdominal girth, abdominal cramping, and change in bowel habit).[6] Urinary urgency or frequency is also common.[6]
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