The serious, though unusual, hemorrhage of ovarian origin into the peritoneal cavity
simulating ruptured tubal pregnancy is well known to every abdominal surgeon, even
though he may have encountered but few such instances in his own practice. The literature
on this subject has been recently reviewed by Novak 1 and by Smith. 2 The larger ovarian
cysts, also with hemorrhagic contents due to twisting of the pedicle of the cyst or from other
conditions, are so obvious as to make it impossible to overlook them. Ovarian hematomas …