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

Amro Elsharoud; Soumia Brakta; Heba Elhusseini; Ayman Al-Hendy

doi:10.1177/2050313X20974222

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

SAGE Open Med Case Rep. 2020 Dec 21:8:2050313X20974222. doi: 10.1177/2050313X20974222. eCollection 2020.

Authors

Amro Elsharoud¹, Soumia Brakta², Heba Elhusseini³, Ayman Al-Hendy⁴

Affiliations

¹ Department of Family Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
² Department of Obstetrics and Gynecology, Section of Reproductive Endocrine, Infertility & Genetics, Medical College of Georgia, Augusta University, Augusta, GA, USA.
³ Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA.
⁴ Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA.

Abstract

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 Over 2 years she has undergone more than 50 paracenteses with 8-11 L withdrawn each time.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 cm³ 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.

Keywords: Fibrothecoma; ovarian tumors; sex cord-stromal tumors.

Publication types

Case Reports