This is not a proof, but since you are interested in connections I have a conjectural generalization. I have verified it numerically in a number of small cases.
Let $f(x,y)=ax^2+bxy+cy^2$ be a positive definite quadratic form with $a,b,c\in\mathbb{Z}$, and let $A$ be the area of the ellipse $f(x,y) \leq 1$. Then
$$
\sum (f(x_1,y_1)f(x_2,y_2)f(x_3,y_3))^{-1} = \frac{A^3}{\pi^2},
$$
where the sum is over all sets $\{(x_1,y_1),(x_2,y_2),(x_3,y_3)\}$ such that $x_1+x_2+x_3=y_1+y_2+y_3=0$ and $\left|\det \begin{pmatrix} x_1 & x_2 \\ y_1 & y_2 \end{pmatrix}\right| = 1$ (which implies the same for the other two pairs).
The motivation for this comes from Conway's topograph for quadratic forms. The three factors in each term of the sum are the numbers at the three faces that meet at each node of the topograph for $f$. Note that each vertex of the topograph is counted twice since we count $(x_1,y_1),(x_2,y_2),(x_3,y_3)$ and $(-x_1,-y_1),(-x_2,-y_2),(-x_3,-y_3)$ separately (in Conway's language, the sum is over strict superbases, not lax superbases).
Presumably this can be proved along the same lines as David E Speyer's answer, but I have not yet tried to do so.
Update: This version of your formula was published by Hurwitz in 1905 in a paper titled "Über eine Darstellung der Klassenzahl binärer quadratischer Formen durch unendliche Reihen" (see §4, equation (8)). It can also be found Dickson, "History of the Theory of Numbers," Vol. III, page 167. The proof given there is essentially the same as David E Speyer's. (As an aside, his proof can be simplified by observing that the length of the edge connecting the images of $a/b$ and $c/d$ is
$$
\frac{2}{\sqrt{(a^2+b^2)(c^2+d^2)}}
$$
and then applying the formula $K=\frac{abc}{4R}$ he mentions in the comments.)
I found these references by looking for papers that mention summing over the vertices of a topograph. This led me to a very recent preprint by Cormac O'Sullivan, which contains Hurwitz's formula phrased in topographical terms (Theorem 9.1). O'Sullivan's source is this paper by Duke, Imamoḡlu, and Tóth.
All of these references contain a number of related formulas and connections to the theory of quadratic forms (not just positive definite, and not just binary) that might be of interest to you.