An unusual case of acute abdomen

Abstract

A 60 year old woman presented to A & E complaining of abdominal pain and coffee ground like vomit. Her past medical history included type 2 diabetes, hypertension and a conjunctival melanoma with gastric and right adnexal secondarisms. So, she underwent a laparotomy and bilateral adnexectomy the year before with no further cytoreduction because of its metastatic nature.