11th April 2024

A 56-year-old woman presents with abdominal and pelvic discomfort with associated vaginal bleeding.

A 56-year-old woman presents with abdominal and pelvic discomfort with associated vaginal bleeding. The pain has been intermittent for the past several months, particularly during sexual intercourse, but has now become constant. She also complains of abdominal bloating and reduced appetite. On examination, she has a distended abdomen with shifting dullness. An irregular and nodular adnexal mass is palpable in the RIF. Which of the following is the most important diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.