Ovarian fibrothecoma: about 2 cases: Review of the literature

Introduction: Ovarian fibroma is a rare tumor representing 1 to 4% of all ovarian tumours, poses a diagnostic problem preoperatively to assess their benign or malignant character, especially if associated with Demons Meigs syndrome.Clinically can be complicated making an array of surgical emergency.Magnetic resonance imaging(MRI) is more effective in diagnosing fibroids ovarian.Its treatment is surgical and the anatomopathological study confirms the diagnosis.

Presentation of the cases: 1) a 62-year-old patient admitted for chronic pelvic pain in whom examination finds a hypogastric arch with slight pelvic tenderness, pelvic ultrasound objectified a pelvic mass of 10 cm heterogeneous, in pre vesico uterine and on MRI a bulky mass above the bladder of strongly ovarian origin evoking a fibrothecoma ovarian. The patient underwent a laparotomy with the discovery of a mass 10 cm in the right appendix with performance of an adnexectomy and the anatomopathological examination returned in favor of ovarian fibrothecoma.

2) a 45-year-old patient consults in the emergency room for intense pelvic pain, the examination finds a defense at the level of the right iliac fossa with perception of a mass firm, on pelvic ultrasound: the fallopian tube is the seat of a hydrosalpinx with an image 7 cm hypoechogenic, BHCG negative, benefited from a mini laparotomy with discovery of a solid mass of 8x6 cm attached to the fallopian tube and the right ovary with two towers of turns, we carried out a detorsion then a resection of the mass and the examination pathology came back in favor of  ovarian fibrothecoma

Conclusion: Ovarian fibroids are rare benign tumors, their diagnosis is based first on the clinic supplemented by explorations radiological especially ultrasound and in some cases MRI.Nevertheless, the diagnosis definitive is histological.