As the number of postmenopausal women increases, physicians will have
more opportunities to treat elderly women with gynecological complicat
ions. This case report describes a 76-year-old, obese, multiparous wom
an, known to have gallstones who presented with acute abdomen complain
ts and was admitted for observation. Treatment was delayed until signi
ficant blood loss was recognized. At laparotomy, a ruptured ovarian gr
anulosa cell tumor was found.