[Massive bleeding during laparoscopy from varicose changes in the minor pelvis]

In a patient aged 53, with metastatic adenocarcinoma in lymph nodes of the neck, laparoscopy was performed on suspicion of the presence of ovarian primary carcinoma. Laparotomy revealed a bluish tumour in the region of the right adnexa. A small part of the tumour was excised, producing profuse bleeding from the varicose swelling in the mesosalpinx, the size of a fist. The bleeding was stopped only by laparotomy. Here, too, a metastatic carcinoma was diagnosed histologically.