Abstract
Ovarian torsion is a common gynecological surgical emergency. It is usually associated with a cyst or a tumor, which is typically benign. The most common cause of ovarian torsion is mature cystic teratoma. We herein present an unusual case of torsion in the ovarian fibrothecoma. We report a case of ovarian torsion in a 47-year-old postmenopausal woman who came to the emergency department with acute abdominal pain. In this case report, we highlight Doppler ultrasonography and the magnetic resonance imaging features of ovarian torsion. She underwent an urgent surgery due to a torsion indicated. Total abdominal hysterectomy and bilateral salpingo-oopherectomy was performed. The final pathologic diagnosis revealed torsion of left ovarian fibrothecoma. Ovarian fibrothecoma are usually asymptomatic. They can become symptomatic when they are torsed. Key Words: Magnetic Resonance Imaging, Ovarian Fibrothecoma, Ovarian Torsion
Highlights
Ovarian torsion results from the rotation of the ovary about its pedicle, to an extent that the ovarian arteries and or veins are obstructed
Ovarian fibrothecomas are usually confused with uterine myomas or malignancy and hardly diagnosed preoperatively as they appear solid in ultrasonography [3]
Genc ve ark. 40 asymptomatic and detected at routine gynecologic examination [4]. These tumors are sometimes accompanied by ascites and cancer antigen 125 (CA 125) elevation in serum; clinical picture in that case may resemble that of malign ovarian tumors [4,5]
Summary
Ovarian torsion results from the rotation of the ovary about its pedicle, to an extent that the ovarian arteries and or veins are obstructed. Ovarian fibrothecomas are usually confused with uterine myomas or malignancy and hardly diagnosed preoperatively as they appear solid in ultrasonography [3]. 40 asymptomatic and detected at routine gynecologic examination [4] These tumors are sometimes accompanied by ascites and cancer antigen 125 (CA 125) elevation in serum; clinical picture in that case may resemble that of malign ovarian tumors [4,5]. A contrast-enhanced MR (magnetic resonance) scan of the pelvis was revealed a large poorly enhancing, solid mass arising from the left adnexa, measuring 10,5 cm craniocaudal × 8,3 cm AP (anteroposterior) × 5,7 cm transverse (Figure 2). Histology showed torsion and venous infraction of ovarian fibrothecoma, with no malignancy
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