Qom University of Medical Sciences Journal

Background and objective
Ovarian cancer is one of the common gynecological cancers. Meanwhile it is the most lethal
cancer and cause of more than 50 percent mortality among gynecological cancers. In early
stages, this cancer is usually asymptomatic or symptoms may be equivocal so neither patient
nor physician can diagnose it. In this study we report an ovarian lymphoma with acute
abdominal presentation in 39 years old woman.
Case report
A 39 years woman was admitted to Nekooei hospital in Qom because of abdominal pain and
signs of peritonitis. At the time of admission pain pattern was colicky but it became constant
in accompany to nausea and mild fever. In the early physical examination she showed
generalized tenderness in abdomen without rebound and guarding. After several hours,
abdominal signs got worse. Vital signs showed no significant abnormality. Ultrasonography
was ordered for further evaluation. Finally patient was made ready for operation with primary
diagnosis of ruptured ovarian cyst. Surgery team found out during operation rupture of small
intestine due to tumoral growth in the bowel.