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.

Conclusion

Ovarian fibrothecomas, although rare, should be included in the differential diagnosis of solid ovarian masses in adolescents.

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青少年卵巢纤维肉瘤表现为卵巢扭转：病例报告

卵巢纤维囊肿是一种罕见的良性间质肿瘤，在儿童中非常罕见。病例介绍一名16岁青少年，无既往病史，因急性盆腔疼痛和呕吐来到急诊室。临床检查发现左髂窝压痛及附件肿块。盆腔超声示一清晰的110 mm × 80 mm高回声左卵巢肿块，多普勒成像无血管形成。包括CA-125在内的所有血液检查都正常。因怀疑卵巢扭转，急诊开腹，确认左侧卵巢扭转720度。肿块被完全切除，保留了左侧卵巢的一部分。组织病理学分析符合纤维膜瘤。术后恢复顺利。术后1个月和6个月随访超声检查均未见肿瘤复发。结论卵巢纤维囊肿虽罕见，但应列入青少年卵巢实性肿物的鉴别诊断。

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