Pregnancy is possible but unlikely.
Obstetrical Hemorrhage 4. Ovarian Malignancy Patient 2. Your second patient is a 49 year old G4P4 with menopausal symptoms, indigestion, constipation, weight loss and is found to have and irregular mass that fills the pelvis. Initial diagnosis at a late stage with a mass filling the pelvis is not unusual. A pelvic mass may present with abdominal distention from the mass, ascities, or both.