Abstract

Fatima Zahra EL Harraz*, Mouna Anibri, Oumaima Sarhdaoui and Zaki EL Hanchi

ABSTRACT

Ovarian fibrothecomas are a rare gynecological pathology of gonadal stromal cell origin, often occurring in perimenopausal and menopausal patients. They are predominantly unilateral in origin. They are benign in the majority of cases and may be responsible for hormone secretion. Ultrasound, MRI, and CT scan data remain the best preoperative approaches currently available for diagnosing ovarian fibrothecomas. However, the diagnosis is confirmed by histopathological analysis. Radical surgery is the preferred management strategy for menopausal women with ovarian fibrothecomas and is associated with a good prognosis. We present the case of a 60-year-old woman who presented complaining of progressively increasing abdominal girth associated with abdominopelvien pain, in whom hysterectomy with bilateral annexectomy was performed. Histopathological analysis revealed a benign unilateral ovarian fibrothecoma with benign uterine leiomyomas.