
Large twisted ovarian fibroma in menopausal women: a case report
Author(s) -
Majdouline Boujoual,
Ihsan Hakimi,
Jaouad Kouach,
Mohamed Oukabli,
Driss Moussaoui,
Mohammed Dehayni
Publication year - 2015
Publication title -
the pan african medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.287
H-Index - 30
ISSN - 1937-8688
DOI - 10.11604/pamj.2015.20.322.5998
Subject(s) - medicine , fibroma , postmenopausal women , ovarian torsion , ovary , differential diagnosis , ovarian tumor , acute abdominal pain , ovarian cancer , lower abdominal pain , abdominal pain , radiology , gynecology , surgery , pathology , cancer
Ovarian fibroma is the most common benign solid tumors of the ovary, commonly misdiagnosed as uterine fibromaor as malignant ovarian tumors. It occurs generally in older perimenopausal and postmenopausal women. Occasionally large fibromas may undergo torsion causing acute abdominal pain. Doppler Ultrasonographyimaging is the choice study. CT and MRI are often needed for further characterization and differentiation from other solid ovarian masses. The choice treatment is surgical removal with intraoperative frozensection. Immunohistochemicalanalysis is recommended to rule out the differential diagnosis. Here we present a case of a postmenopausal woman with a large twisted ovarian fibroma reflecting diagnostic and management difficulties including potential misdiagnosis of the tumor as a malignant ovarian neoplasm that may influence the surgical approach.