Granulosa cell tumor complicated by torsion, rupture and hemoperitoneum

Granulosa cell tumor, a sex cord stromal estrogen secreting tumor presents with vaginal bleeding and is seen in all ages. It accounts for <5% of ovarian neoplasm. We reported rare case granulosa postmenopausal woman undergoing staging laparotomy total abdominal hysterectomy bilateral salpingo-oopherectomy malignant which was complicated by torsion, rupture hemorrhagic ascitis. Any should arouse suspicion the background woman. For most patients, surgery alone sufficient primary therapy, Radiation chemotherapy are reserved treatment recurrent or metastatic disease.