June 2017 Vol. 5 No.6

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Case Report

Twisted Ovarian Fibroma, A Rare Disease

Ioannis K. Thanasas^*, Tilemahos Karalis and Konstantina Balafa

Department of Obstetrics – Gynecology of General Hospital in Trikala, Trikala, Greece

*Corresponding Author’s E-mail: thanasasg@hotmail.com
Tel.: 2431029103 / 6944766469

Accepted June 21, 2017

Abstract

This case report is about the surgical treatment of a patient with twisted ovarian fibroma. A patient in menopausal age with a mentioned history of a uterine fibroma came to the emergency room of our hospital with acute abdomen. Physical examination revealed the presence of a solid painful pelvic mass possibly arising from the right adnexa. Imaging control reinforced the diagnosis of twisted adnexal mass and a total abdominal hysterectomy with bilateral salpingo – oophorectomy was performed. Histological examination of the surgical specimen confirmed the ovarian fibroma. After a 5-day hospitalization and a smooth post-operative course, the patient was discharged. In this paper a literature preview of ovarian fibromas as concern as the diagnosis and the treatment methods, based on current data, is discussed.

Keywords: Ovarian fibroma, twisted, diagnosis, treatment.