Ovarian Fibrothecoma: A Rare Cause of Ovarian Torsion in Postmenopausal Woman

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

 

Keywords

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Ovarian Fibrotekoma: Postmenopozal Kadinda Over Torsiyonun Nadir Bir Nedeni

Abstract

Over torsiyonu acil cerrahi müdahele gerektiren bir jinekolojik patolojidir. Genellikle benign over tümörleri ya da kistleri ile ilişkilidir. Over torsiyonunun en sık nedeni matür kistik teratomlardır. Biz burada overde fibrotekoması bulunan, akut karın ağrısı şikayeti ile acil servise başvuran ve over torsiyonu izlenen 47 yaşında postmenopozal dönemde olan nadir görülen bir vakayı sunduk. Bu vakada over torsiyonunun doppler ultrasonografi ve manyetik rezonans görüntüleme özelliklerini vurguladık. Hastamız over torsiyonuna bağlı olarak acil cerrahiye alındı. Total abdominal histerektomi ve biateral salpingooferektomi uygulandı. Patoloji sonucu fibrotekoma bulunan sol overde torsiyon olarak geldi.  Ovarien fibrotekomalar genellikle asemptomatiktirler. Torsiyone oldukları zaman bulgu verebilirler.  

Anahtar kelimeler: Manyetik Rezonans Görüntüleme, Ovarian Fibrotekoma, Over Torsiyonu

Keywords

• Manyetik Rezonans Görüntüleme

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