Ovarian fibroma with a twist!

Abstract

Ovarian fibromas are the most common benign solid tumor of the ovary and usually are large and asymptomatic. It can mimic several conditions hence it can often be misdiagnosed pre-operatively. In this case the pre-operative diagnosis was bilateral ovarian tumor with endometrial hyperplasia. The final diagnosis was a torsion left ovarian fibroma with an area of hemorrhagic infarction and a benign endometrial polyp. The benefit of a multidisciplinary team approach and the challenges faced during the peri-operative period are discussed.

Ovarian fibroma: A diagnostic dilemma

“…Rarely, they occur in younger age groups as seen in our patient at 22 years of age. Most of the patients are asymptomatic or complain of vague abdominal pain, distension, urinary symptoms or torsion [6] . Patients with torsion present with severe acute abdominal pain, seen in 8% of the cases [5] .…”