This 71 y/o female with abdominal pain was admitted after a pelvic CT with rectal contrast revealed a large abdomino-pelvic mass. Selected images from the CT are shown above. An extensive differential diagnosis was considered. The correct diagnosis was established when an ovarian fibroma with torsion was resected.

  1. Sivanesaratnam V, Dutta R, Jayalakshmi P. Ovarian fibroma--clinical and histopathological characteristics. Int J Gynaecol Obstet 1990 Nov;33(3):243-7 PMID:1977643
  2. Bazot M, Ghossain MA, Buy JN, Deligne L, Hugol D, Truc JB, Poitout P, Vadrot D. Fibrothecomas of the ovary: CT and US findings. J Comput Assist Tomogr 1993 Sep-Oct;17(5):754-9 PMID:8396600
  3. Stephenson WM, Laing FC. Sonography of ovarian fibromas. AJR Am J Roentgenol 1985 Jun;144(6):1239-40 PMID:3890488
  4. Spinelli C, Gadducci A, Bonadio AG, Berti P, Miccoli P. Benign ovarian fibroma associated with free peritoneal fluid and elevated serum CA 125 levels. Minerva Ginecol 1999 Oct;51(10):403-7 PMID:10638167
  5. Srivastava VK, Mali S. Fibroma of the ovary. Indian J Cancer 1970 Sep;7(3):235-8 PMID:5508534
  6. Bierman SM, Reuter KL, Hunter RE. Meigs syndrome and ovarian fibroma: CT findings. J Comput Assist Tomogr 1990 Sep-Oct;14(5):833-4 PMID:2398172
  7. Troiano RN, Lazzarini KM, Scoutt LM, Lange RC, Flynn SD, McCarthy S. Fibroma and fibrothecoma of the ovary: MR imaging findings. Radiology 1997 Sep;204(3):795-8 PMID:9280262
  8. Schwartz RK, Levine D, Hatabu H, Edelman RR. Ovarian fibroma: findings by contrast-enhanced MRI. Abdom Imaging 1997 Sep-Oct;22(5):535-7 PMID:9233896
  9. Outwater EK, Siegelman ES, Talerman A, Dunton C. Ovarian fibromas and cystadenofibromas: MRI features of the fibrous component. J Magn Reson Imaging 1997 May-Jun;7(3):465-71 PMID:9170028
  10. Ueda J, Furukawa T, Higashino K, Ueda K, Kobayashi S, Shimura K, Tsujimura T, Araki Y. Ovarian fibroma of high signal intensity on T2-weighted MR image. Abdom Imaging 1998 Nov-Dec;23(6):657-8 PMID:9922206
  11. Minutoli F, Blandino A, Gaeta M, Lentini M, Pandolfo I. Twisted ovarian fibroma with high signal intensity on T1-weighted MR image: a new sign of torsion of ovarian tumors? Eur Radiol 2001;11(7):1151-4 PMID:11471603
  12. Schwartz RK, Levine D, Hatabu H, Edelman RR. Ovarian fibroma: findings by contrast-enhanced MRI. Abdom Imaging 1997 Sep-Oct;22(5):535-7 PMID:9233896
  13. Perry LJ, Lewis JC, Ball RY. Adenocarcinoma of the breast metastatic to benign ovarian fibroma. Gynecol Oncol 1996 Sep;62(3):408-10 PMID:8812542

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