An unusual occurrence of ovarian fibroma originating from an autoamputated ovary: a case report

Autoamputation of an ovary is a rare condition that is difficult to diagnose. The primary cause of this condition seems to be the chronic torsion of the adnexa. It is challenging to diagnose and is usually discovered during surgery. A 65-year-old woman came to the hospital complaining of abdominal fullness and multiple solid masses. A pelvic computed tomography (CT) scan showed a well-defined, solid mass measuring 11 cm × 8 cm in the cul-de-sac (CDS), which appeared to be a subserosal uterine leiomyoma. Multiple solid masses in the uterus were also observed, which were believed to be uterine leiomyomas. The patient underwent laparotomy, and it was discovered that the cause of the masses was an ovarian fibroma that had originated from an autoamputated ovary. The tumor was successfully removed with no complications, and the patient recovered well. Autoamputation of an ovary is challenging to diagnose, especially in postmenopausal women, due to its rarity and nonspecific symptoms. However, clinicians should consider this condition when a patient presents with early symptoms of abdominal discomfort or pain. This case highlights the importance of considering rare conditions in the differential diagnosis when a patient presents with unusual symptoms.

Autoamputation; Chronic torsion; Fibroma; Leiomyoma; Ovary

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