Abdelazim Ibrahim A, Abu-Faza Mohannad, Abdelrazek Khaled, Amer Osama O, Shikanova Svetlana, Zhurabekova Gulmira
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company, Ahmadi, Kuwait.
Gynecol Minim Invasive Ther. 2019 Sep 18;9(1):36-38. doi: 10.4103/GMIT.GMIT_131_18. eCollection 2020 Jan-Mar.
Ovarian fibroma usually misdiagnosed preoperatively as uterine leiomyoma. A 36-year-old woman, presented with abdominal pain and vomiting, provisionally diagnosed as complicated ovarian cyst. The transvaginal ultrasound and Doppler showed left solid adnexal mass with preserved ovarian blood flow. Magnetic resonance imaging showed a well-defined solid mass in the left side of the pelvis, measuring 8 cm × 10 cm most probably subserous uterine leiomyoma. At laparotomy, the solid ovarian mass was originating from the left ovary, and the microscopic examination confirmed the diagnosis of the ovarian fibroma. This report represents the preoperative misdiagnosis of the ovarian fibromas and the conservative ovarian surgery for the ovarian fibromas and the importance of the follow-up for future fertility and/or recurrence of the fibromas in young women.
卵巢纤维瘤术前通常被误诊为子宫平滑肌瘤。一名36岁女性，因腹痛和呕吐就诊，初步诊断为复杂性卵巢囊肿。经阴道超声和多普勒检查显示左侧附件实性肿块，卵巢血流正常。磁共振成像显示盆腔左侧有一个边界清晰的实性肿块，大小为8 cm×10 cm，很可能是浆膜下子宫平滑肌瘤。剖腹手术时，发现实性卵巢肿块起源于左侧卵巢，显微镜检查确诊为卵巢纤维瘤。本报告阐述了卵巢纤维瘤的术前误诊情况、针对卵巢纤维瘤的保守性卵巢手术，以及对年轻女性未来生育能力和/或纤维瘤复发进行随访的重要性。
