This case report is about the surgical treatment of a patient with twisted ovarian fibroma. A patient in menopausal age with a mentioned history of a uterine fibroma came to the emergency room of our hospital with acute abdomen. Physical examination revealed the presence of a solid painful pelvic mass possibly arising from the right adnexa. Imaging control reinforced the diagnosis of twisted adnexal mass and a total abdominal hysterectomy with bilateral salpingo – oophorectomy was performed. Histological examination of the surgical specimen confirmed the ovarian fibroma. After a 5-day hospitalization and a smooth post-operative course, the patient was discharged. In this paper a literature preview of ovarian fibromas as concern as the diagnosis and the treatment methods, based on current data, is discussed.
 

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