title: Large twisted ovarian fibroma in menopausal women: a case report.
abstract: Ovarian fibroma is the most common benign solid tumors of the ovary, commonly misdiagnosed as uterine fibromaor as malignant ovarian tumors. It occurs generally in older perimenopausal and postmenopausal women. Occasionally large fibromas may undergo torsion causing acute abdominal pain. Doppler Ultrasonographyimaging is the choice study. CT and MRI are often needed for further characterization and differentiation from other solid ovarian masses. The choice treatment is surgical removal with intraoperative frozensection. Immunohistochemicalanalysis is recommended to rule out the differential diagnosis. Here we present a case of a postmenopausal woman with a large twisted ovarian fibroma reflecting diagnostic and management difficulties including potential misdiagnosis of the tumor as a malignant ovarian neoplasm that may influence the surgical approach.
authors.affiliation: Department of Gynecology-Obstetric, University of Medicine Tangier, Military Training Hospital Med V, Rabat, Morocco.
authors.forename: Majdouline
authors.initials: M
authors.lastname: Boujoual
authors.affiliation: Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco.
authors.forename: Ihsan
authors.initials: I
authors.lastname: Hakimi
authors.affiliation: Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco.
authors.forename: Jaouad
authors.initials: J
authors.lastname: Kouach
authors.affiliation: Department of Pathology, Military Training Hospital Med V, Rabat, Morocco.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Oukabli
authors.affiliation: Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco.
authors.forename: Driss Rahali
authors.initials: DR
authors.lastname: Moussaoui
authors.affiliation: Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Dehayni
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005350:Fibroma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology; D017698:Postmenopause
keywords: Ovarian fibroma; postmenopausal; torsion