A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report

Fibrothecomas are mostly benign ovarian tumors. We describe a rare case of fibrothecoma in a 59-year-old woman with a history of recurrent massive ascites and postmenopausal bleeding. Over 2 years she has undergone more than 50 paracenteses with 8–11 L withdrawn each time. She presented with a newly...

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Main Authors: Amro Elsharoud, Soumia Brakta, Heba Elhusseini, Ayman Al-Hendy
Format: Article
Language:English
Published: SAGE Publishing 2020-12-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X20974222
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spelling doaj-48f2f198a1744b4fa4f0cdc22dca37982020-12-23T01:03:21ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-12-01810.1177/2050313X20974222A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case reportAmro Elsharoud0Soumia Brakta1Heba Elhusseini2Ayman Al-Hendy3Department of Family Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USADepartment of Obstetrics and Gynecology, Section of Reproductive Endocrine, Infertility & Genetics, Medical College of Georgia, Augusta University, Augusta, GA, USADepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USADepartment of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USAFibrothecomas are mostly benign ovarian tumors. We describe a rare case of fibrothecoma in a 59-year-old woman with a history of recurrent massive ascites and postmenopausal bleeding. Over 2 years she has undergone more than 50 paracenteses with 8–11 L withdrawn each time. She presented with a newly diagnosed pelvic mass and bilateral hydrosalpinges demonstrated on ultrasound and were confirmed with computed tomography. The pelvic magnetic resonance imaging showed a large complex cystic mass arising from the left ovary measuring 16.6 × 12.1 × 8.6 cm 3 with an area of irregular mural enhancement. The patient underwent left salpingo-oophorectomy with benign frozen section results. The final pathology was consistent with cystic degeneration of fibrothecomahttps://doi.org/10.1177/2050313X20974222
collection DOAJ
language English
format Article
sources DOAJ
author Amro Elsharoud
Soumia Brakta
Heba Elhusseini
Ayman Al-Hendy
spellingShingle Amro Elsharoud
Soumia Brakta
Heba Elhusseini
Ayman Al-Hendy
A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report
SAGE Open Medical Case Reports
author_facet Amro Elsharoud
Soumia Brakta
Heba Elhusseini
Ayman Al-Hendy
author_sort Amro Elsharoud
title A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report
title_short A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report
title_full A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report
title_fullStr A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report
title_full_unstemmed A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report
title_sort presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: a case report
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2020-12-01
description Fibrothecomas are mostly benign ovarian tumors. We describe a rare case of fibrothecoma in a 59-year-old woman with a history of recurrent massive ascites and postmenopausal bleeding. Over 2 years she has undergone more than 50 paracenteses with 8–11 L withdrawn each time. She presented with a newly diagnosed pelvic mass and bilateral hydrosalpinges demonstrated on ultrasound and were confirmed with computed tomography. The pelvic magnetic resonance imaging showed a large complex cystic mass arising from the left ovary measuring 16.6 × 12.1 × 8.6 cm 3 with an area of irregular mural enhancement. The patient underwent left salpingo-oophorectomy with benign frozen section results. The final pathology was consistent with cystic degeneration of fibrothecoma
url https://doi.org/10.1177/2050313X20974222
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