case_images: PMC8571930_01
case_images: computerized tomography (CT) of pelvis showing bilateral enlarged irregular heterogeneously enhancing masses; several cystic components seen in the mass suggestive of necrosis; no contrast extravasation suggestive of active bleeding is seen
case_images: PAMJ-40-52-g001.jpg
case_images: PMC8571930_01_PAMJ-40-52-g001.jpg
case_images: F1
case_images: A computerized Tomography of the pelvis revealed large bilateral adnexal masses with no active extravasation, indicating no active bleeding (Figure 1).
case_images: specimen of bilateral hemorrhagic ovarian cysts that ruptured that on intraoperative manipulation with 200-300cc clots
case_images: PAMJ-40-52-g002.jpg
case_images: PMC8571930_01_PAMJ-40-52-g002.jpg
case_images: F2
case_images: Intravenous vitamin K 2 mg for warfarin reversal. Intraoperative findings include bilateral adnexal masses, that ruptured on manipulation with 200-300cc clots from both the ovaries (Figure 2).