This woman had had 4 previous pregnancies and over the year prior to hysterectomy had
suffered severe lower abdominal pain, beginning about the 3rd day of the cycle and lasting between
3 and 14 days. Over the same period she had noted painful contractions of the bladder following
emptying during the period in which she had abdominal pain.
This woman noted, at the age of 79, a lower abdominal mass; she had noted some urgency
of micturition, with dysuria. Her right ovary had been removed 8 years before; this was a granulosa
cell tumour. At laparoscopy on the present occasion, there was evidence of peritoneal spread and
postoperative chemotherapy was exhibited. Four months later there was a palpable mass in the
right iliac fossa, but she was otherwise well.