Surgical management of torsion of ovarian fibroma: a case report

Authors

  • Umber Fatima Department of Obstetrics and Gynecology, Basildon University Hospital, Essex, UK
  • Ifeoluwa Ajayi Department of Obstetrics and Gynecology, Basildon University Hospital, Essex, UK
  • Menatalla Fayed Department of Obstetrics and Gynecology, Basildon University Hospital, Essex, UK
  • Mustafa Ahmed Fetal Medicine and Obstetrics and Gynaecology Consultant, Basildon University Hospital, Essex, UK
  • Thekla Charitou Department of Obstetrics and Gynecology, Basildon University Hospital, Essex, UK

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241782

Keywords:

Ovarian fibroma, Sex cord tumor, Torsion, Iliac fossa tenderness, Adnexal mass

Abstract

Ovarian fibromas are solid tumors that belong to sex-cord stromal cell tumors of the ovary and are composed of fibrous tissue. They are the most common benign solid tumors of the ovary. The clinical presentation is variable and can include abdominal pain, bloating and menstrual irregularities. In some cases, the first presentation can be that of torsion. This case report presents a case of a 28-year-old who presented with features suggestive of ovarian torsion. Diagnostic difficulty was faced due to the complex appearance of the mass and presenting age of the patient. However, the Computed Tomography (CT) reported a large 12cm multiloculated cystic lesion likely ovarian in origin. Our patient underwent a laparotomy successfully. The diagnosis was confirmed by histopathology.

References

Valentini AL, Gui B, Miccò M, Mingote MC, De Gaetano AM, Ninivaggi V, et al. Benign and Suspicious Ovarian Masses-MR Imaging Criteria for Characterization: Pictorial Review. J Oncol. 2012;2012:481806.

Foti PV, Attinà G, Spadola S, Caltabiano R, Farina R, Palmucci S, et al. MR imaging of ovarian masses: classification and differential diagnosis. Insights Imaging. 2016;7(1):21-41.

Saran S, Singh AP, Khanna T. Ovarian fibroma with torsion in a young female. Ann Afr Med. 2019;18(4):210-1.

Boujoual M, Hakimi I, Kouach J, Oukabli M, Moussaoui DR, Dehayni M. Large twisted ovarian fibroma in menopausal women: a case report. Pan Afr Med J. 2015;20:322.

Shen Y, Liang Y, Cheng X, Lu W, Xie X, Wan X. Ovarian fibroma/fibrothecoma with elevated serum CA125 level: A cohort of 66 cases. Medicine (Baltimore). 2018;97(34):e11926.

Montoriol PF, Mons A, Da Ines D, Bourdel N, Tixier L, Garcier JM. Fibrous tumours of the ovary: aetiologies and MRI features. Clin Radiol. 2013;68(12):1276-83.

Kitajima K, Kaji Y, Sugimura K. Usual and unusual MRI findings of ovarian fibroma: correlation with pathologic findings. Magn Reson Med Sci. 2008;7(1):43-8.

Zhang Z, Wu Y, Gao J. CT Diagnosis in the Thecoma–Fibroma Group of the Ovarian Stromal Tumors. Cell Biochem Biophys. 2015;71:937-43.

Thanasa A, Thanasa E, Kamaretsos E, Paraoulakis I, Ziogas AC, Kontogeorgis G, et al. Surgical Treatment of a Rare Case of Ovarian Fibroma Associated With Elevated CA125 Levels in a Patient of Reproductive Age: A Case Report. Cureus. 2023;15(1):e34097.

Yoon BH, Lee CM, Kim SW. An abnormal umbilical artery waveform: A strong and independent predictor of adverse perinatal outcome in patients with preeclampsia. Am J Obs Gyn. 1994;171:713-21.

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Published

2024-06-27

Issue

Section

Case Reports