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Could be several separate issues at work here.
1 vomiting blood - could be from stomach ulcer(s) caused by medications - usually NSAIDS such as Ibuprofen, or ulceration from other causes.
2. Ovarian mass in this age group most likely cancer but need to confirm diagnosis. CA 125 will help. Any weight loss or gain? Any ascites- (Fluid collecting within the abdomen)? (Should be present on CT scan. Ask if her clothes/pants were getting tight or loose).
If the mass is large enough it could compress the pelvic veins leading to swelling of one or both legs.
Ovarian cancer can lead to bowel obstructions, but does not often spread to the stomach.
Often ovarian cancer has few if any early symptoms and is not diagnosed until it is a late stage (Stage IV).
Oncologist is helpful but a surgical gynecology oncologist would be needed to perform a staging laparotomy to diagnose and stage the disease.
Best of wishes to you and family.
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