title: Ruptured clear cell carcinoma of the ovary presenting as acute abdomen.
abstract: BACKGROUND
  Ovarian cancer remains one of the leading causes of cancer-related deaths among women. Clear cell ovarian carcinoma is a rare histologic subtype accounting for 5-10% of all epithelial ovarian cancers and is often associated with endometriosis. Patients generally present with vague abdominal and pelvic complaints. However, patients can present in the acute setting with pleural effusions, ascites, bowel obstructions, and deep vein thrombosis.
  
  
  METHODS
  A 54 year old woman presenting with an acute abdomen secondary to rupture of ovarian clear cell carcinoma.
  
  
  CONCLUSIONS
  Ovarian clear cell carcinoma should remain in the differential diagnosis in a patient presenting with an acute abdomen and imaging suspicious for a gynecologic malignancy originating from the ovary.
authors.affiliation: Department of Obstetrics & Gynecology, Weill Cornell Medical College - New York Presbyterian Hospital, United States.
authors.forename: Zhen Ni
authors.initials: ZN
authors.lastname: Zhou
authors.affiliation: Department of Obstetrics & Gynecology, Weill Cornell Medical College - New York Presbyterian Hospital, United States.
authors.forename: Christina
authors.initials: C
authors.lastname: Tierney
authors.affiliation: Department of Pathology, Weill Cornell Medical College and New York Presbyterian/Queens Hospital, United States.
authors.forename: William H
authors.initials: WH
authors.lastname: Rodgers
authors.affiliation: Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, Weill Cornell Medical College and New York Presbyterian/Queens Hospital, United States.
authors.forename: Long
authors.initials: L
authors.lastname: Nguyen
authors.affiliation: Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, Weill Cornell Medical College and New York Presbyterian/Queens Hospital, United States.
authors.forename: David
authors.initials: D
authors.lastname: Fishman
keywords: Acute abdomen; Clear cell pathology; Gynecologic malignancy; Ovarian cancer; Surgical emergency; Tumor capsule rupture