case_images: PMC4491469_01
case_images: PMC4491469_02
case_images: Pelvic computed tomography revealing an enlarged ovary with iso-dense mass in the midline, measuring 122x 86cm with deviation of the uterus
case_images: PAMJ-20-322-g001.jpg
case_images: PMC4491469_02_PAMJ-20-322-g001.jpg
case_images: F0001
case_images: 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).
case_images: Pelvic computed tomography showing rotated mass toward the contralateral side of the pelviswithout lymphadenopathy or pelvic effusion
case_images: PAMJ-20-322-g002.jpg
case_images: PMC4491469_02_PAMJ-20-322-g002.jpg
case_images: F0002
case_images: 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).
case_images: Intraoperative picture showing a black bluish encapsulated mass arising from the twisted right adnexa, measuring 140x 100x 60 mm
case_images: PAMJ-20-322-g003.jpg
case_images: PMC4491469_02_PAMJ-20-322-g003.jpg
case_images: F0003
case_images: 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).
case_images: Intraoperative picture showing an ovarian mass with irregular surface, hemorrhagicreshuffle and thrice twisted pedicle
case_images: PAMJ-20-322-g004.jpg
case_images: PMC4491469_02_PAMJ-20-322-g004.jpg
case_images: F0004
case_images: 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).
case_images: Macroscopic appearance of the resected ovarian fibroma.
case_images: PAMJ-20-322-g005.jpg
case_images: PMC4491469_02_PAMJ-20-322-g005.jpg
case_images: F0005
case_images: 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).
case_images: Histopathology of ovarian fibroma showing benignspindle cellproliferation (X4)
case_images: PAMJ-20-322-g006.jpg
case_images: PMC4491469_02_PAMJ-20-322-g006.jpg
case_images: F0006
case_images: According to pathological and immunohistochimical findings, the diagnosis of ovarian fibroma with extensive ischemic necrosis was confirmed (Figure 6, Figure 7).
case_images: Histopathology of ovarian fibroma showing ischemic necrosis (X4)
case_images: PAMJ-20-322-g007.jpg
case_images: PMC4491469_02_PAMJ-20-322-g007.jpg
case_images: F0007
case_images: According to pathological and immunohistochimical findings, the diagnosis of ovarian fibroma with extensive ischemic necrosis was confirmed (Figure 6, Figure 7).