Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 18 (4), 210-211

Ovarian Fibroma With Torsion in a Young Female

Affiliations

Ovarian Fibroma With Torsion in a Young Female

Sonal Saran et al. Ann Afr Med.

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Transabdominal ultrasound evaluation showing the presence of a well-defined heterogeneous mass in the lower abdomen in midline with the presence of internal cystic changes (a). Uterus and urinary bladder were normal (b). However, the uterus was slightly pulled toward the mass. The left ovary was normal (c). The right ovary was not separately visualized from the mass
Figure 2
Figure 2
Contrast-enhanced computed tomography showing the presence of a large well-defined solid heterogeneous mass in the left half of the abdomen (a and b) and a thick cord-like structure connecting it with the uterus which was thereby tilted toward the mass. The right ovary was not visualized, and the lesion showed heterogeneous postcontrast enhancement. Relationship of mass with the uterus and associated minimal ascites were nicely depicted on the coronal section (a). u: Uterus, UB: Urinary bladder, Triangle: Ascites, Star: Mass
Figure 3
Figure 3
Surgical specimen of the mass excised
Figure 4
Figure 4
(a-c) Microscopic features of the mass excised showing the presence of encapsulated tumor composed of lobules having closely packed spindle stromal cells with bipolar scanty cytoplasm. The cells are at places seen in sheets and interlacing bundles. There is no evidence of mitosis. Overall diagnosis is in favor of fibroma

Similar articles

See all similar articles

References

    1. Yen P, Khong K, Lamba R, Corwin MT, Gerscovich EO. Ovarian fibromas and fibrothecomas: Sonographic correlation with computed tomography and magnetic resonance imaging: A 5-year single-institution experience. J Ultrasound Med. 2013;32:13–8. - PubMed
    1. Macciò A, Madeddu C, Kotsonis P, Pietrangeli M, Paoletti AM. Large twisted ovarian fibroma associated with Meigs' syndrome, abdominal pain and severe anemia treated by laparoscopic surgery. BMC Surg. 2014;14:38. - PMC - PubMed
    1. Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008;28:1355–68. - PubMed
    1. Vandermeer FQ, Wong-You-Cheong JJ. Imaging of acute pelvic pain. Clin Obstet Gynecol. 2009;52:2–20. - PubMed
    1. Son CE, Choi JS, Lee JH, Jeon SW, Hong JH, Bae JW, et al. Laparoscopic surgical management and clinical characteristics of ovarian fibromas. JSLS. 2011;15:16–20. - PMC - PubMed
Feedback