Ovarian torsion reveals a large hemorrhagic cystadenofibroma in an elderly woman: Diagnostic challenges and imaging characteristics

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-13 DOI:10.1016/j.radcr.2024.10.002

Hadj Hsain Ihssan, Guelzim Yousra, Lahlou Chaimae, Marrakchi Salma, Allali Nazik, Chat latifa, El haddad Siham

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Abstract

A 61-year-old postmenopausal woman presented with abdominal edema, heaviness in the lower abdomen, and acute pain in the left lower quadrant. Imaging revealed a large mass with both cystic and solid components on the left side of the uterus, and torsion was suspected based on the coiled appearance of the ovarian pedicle, commonly referred to as the “spiral sign.” A diagnosis of hemorrhagic ovarian cystadenofibroma was made following emergency surgery, which included detorsion and left oophorectomy. This case highlights the diagnostic challenge posed by the resemblance of cystadenofibromas to malignant tumors on imaging. MRI proved crucial in differentiating the tumor's fibrous stroma from malignant characteristics, and the patient had a positive outcome postsurgery. The case underscores the importance of timely surgical intervention, especially in emergencies like ovarian torsion, and highlights the role of advanced imaging in guiding diagnosis and management.

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卵巢扭转显示一名老年妇女患有巨大出血性囊腺纤维瘤：诊断难题和成像特征

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.