PMC4491469_01
PMC4491469_02
Pelvic computed tomography revealing an enlarged ovary with iso-dense mass in the midline, measuring 122x 86cm with deviation of the uterus
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F0001
Pelvic computed tomography revealed a right enlarged ovary with heterogeneous iso-dense mass in the midline, rotated toward the contralateral side of the pelvis measuring 122x 86cm with deviation of the uterus without lymphadenopathy or pelvic effusion (Figure 1, Figure 2).
Pelvic computed tomography showing rotated mass toward the contralateral side of the pelviswithout lymphadenopathy or pelvic effusion
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F0002
Pelvic computed tomography revealed a right enlarged ovary with heterogeneous iso-dense mass in the midline, rotated toward the contralateral side of the pelvis measuring 122x 86cm with deviation of the uterus without lymphadenopathy or pelvic effusion (Figure 1, Figure 2).
Intraoperative picture showing a black bluish encapsulated mass arising from the twisted right adnexa, measuring 140x 100x 60 mm
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F0003
Anexploratory laparotomy had showed a black bluish encapsulated mass arising from the twisted right adnexa, measuring 140x100x60 mm with irregular surface and hemorrhagicreshuffle, attached to the right ovary with a thrice twisted pedicle (Figure 3, Figure 4, Figure 5).
Intraoperative picture showing an ovarian mass with irregular surface, hemorrhagicreshuffle and thrice twisted pedicle
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F0004
Anexploratory laparotomy had showed a black bluish encapsulated mass arising from the twisted right adnexa, measuring 140x100x60 mm with irregular surface and hemorrhagicreshuffle, attached to the right ovary with a thrice twisted pedicle (Figure 3, Figure 4, Figure 5).
Macroscopic appearance of the resected ovarian fibroma.
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F0005
Anexploratory laparotomy had showed a black bluish encapsulated mass arising from the twisted right adnexa, measuring 140x100x60 mm with irregular surface and hemorrhagicreshuffle, attached to the right ovary with a thrice twisted pedicle (Figure 3, Figure 4, Figure 5).
Histopathology of ovarian fibroma showing benignspindle cellproliferation (X4)
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F0006
According to pathological and immunohistochimical findings, the diagnosis of ovarian fibroma with extensive ischemic necrosis was confirmed (Figure 6, Figure 7).
Histopathology of ovarian fibroma showing ischemic necrosis (X4)
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F0007
According to pathological and immunohistochimical findings, the diagnosis of ovarian fibroma with extensive ischemic necrosis was confirmed (Figure 6, Figure 7).