Laparoscopic Surgical Management of Ovarian Fibroma with Torsion in Young Female: A Case Report

Dr. Neeta Meena

Abstract: Ovarian fibroma with torsion is a rare but serious condition, especially in young females. Ovarian fibromas are benign, slow - growing tumors composed mainly of fibrous tissue. When torsion occurs, the ovary twists around its supporting ligaments, cutting off blood supply to the ovary. This case report presents a case of a 31 - year - old who presented with features suggestive of ovarian torsion. Diagnostic. Difficulty was faced due to the complex appearance of the mass and presenting age of the patient. However, the diagnosis was confirmed by histopathology reported a large 14cm multiloculated cystic lesion likely ovarian fibroma This can lead to acute abdominal pain, nausea, and vomiting, often mimicking other gynecological or gastrointestinal emergencies. Diagnosis is typically made via imaging such as ultrasound or MRI, but definitive diagnosis requires surgical exploration. Early intervention is crucial to prevent ovarian necrosis, with laparoscopic detorsion or removal of the mass being the preferred treatment.

Keywords: Ovarian fibroma, Sex cord tumor, Torsion, Iliac fossa tenderness, Adnexal mass