It was believed that the patient had either a hem
-
orrhagic cyst or a ruptured ovarian vessel, and she
was taken to surgery. Laparoscopy was performed,
and a survey of the abdomen showed a large clot in
the pelvis. The left ovary appeared normal; however,
omental adhesions obscured the right ovary and were
removed with sharp dissection. The right ovary had
a large clot at the distal end, which was removed.
The opening was consistent with a ruptured ovarian
cyst, and the cyst bed was fulgurated (cauterized).
Active bleeding was minimal during surgery. The
abdomen was irrigated and all clots were removed