Ovarian fibrothecoma in an adolescent presenting as ovarian torsion: A case report

IF 0.2 Q4 PEDIATRICS

Journal of Pediatric Surgery Case Reports Pub Date : 2025-03-26 DOI:10.1016/j.epsc.2025.102994

Youssef Essebbagh, Khadija Errmili, Amina Etber, Othmane Elharmouchi, Najia Zeraidi, Aziz Baidada

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Abstract

Introduction

Ovarian fibrothecomas are rare benign stromal tumors, very rare in the pediatric population.

Case presentation

A 16-year-old adolescent with no prior medical history presented to the emergency room with acute pelvic pain and vomiting. Clinical examination revealed left iliac fossa tenderness and an adnexal mass. Pelvic ultrasound showed a well-defined, 110 mm × 80 mm, hyperechoic left ovarian mass with absent vascularization on Doppler imaging. All bood tests, including CA-125, were normal. Due to the suspicion of ovarian torsion, an emergency laparotomy was performed, confirming a 720-degree left ovarian torsion. The mass was completely resected preserving a portion of the left ovary. Histopathological analysis was consistent with a fibrothecoma. The postoperative recovery was uneventful. Follow-up ultrasounds at 1 and 6 months after the operation showed no recurrence of the tumor.