Ann Trauma Acute Care | Volume 6, Issue 1 | Case Report | Open Access

Traumatic Ovarian Fibrothecoma Avulsion in Blunt Abdominal Trauma

Oliveira E¹, Nishida MB², Rodrigues JMS³, Oliveira e Silva RP¹, Delis I¹, Iazzetti FF¹ and Ribeiro
Junior MAF^4*

¹Department of Surgery, Division of General Surgery, Catholic University of Sao Paulo, Brazil ²Department of Surgery, Catholic University of Sao Paulo, Brazil ³Department of Surgery, Division of General and Trauma Surgery, Catholic University of Sao Paulo, Brazil ⁴Department of Surgery, Division of General and Trauma Surgery, Catholic University of Sao Paulo, Medical Sciences of Sao Jose dos Campos-Humanitas, Brazil

^*Correspondance to: Marcelo AF Ribeiro Jr. 

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Abstract

The aim of the current study is to report a case of avulsion in the hilum region of ovarian tumor identified as fibrothecoma in menopausal patient subjected to blunt trauma. The literature review did not identify any case of fibrothecoma rupture resulting from trauma. There are few case reports on gynecological injuries resulting from trauma; however, it is important highlighting that these injuries, whenever observed, are significantly associated with pelvic (40%) and rib fractures (27%), and pneumothorax (17%) and pulmonary contusions (16%). Gynecological trauma, in separate, happens in 12% of patients with ovarian and/or fallopian tube injuries, as well as in 8% of those with uterine injuries. Blunt abdominal trauma is the main cause of gynecological trauma. Ovaries and fallopian tubes are the main structures injured by this trauma type; such a fact is highly associated with pelvic fractures. The rupture of ovarian injuries is a rare event; ovarian fibrothecoma is an atypical tumor type.

Keywords:

Gynecological trauma; Fibrothecoma; Blunt abdominal trauma; Ovarian tumor

Citation:

Oliveira E, Nishida MB, Rodrigues JMS, Oliveira e Silva RP, Delis I, Iazzetti FF, et al. Traumatic Ovarian Fibrothecoma Avulsion in Blunt Abdominal Trauma. Ann Trauma Acute Care. 2022;6(1):1029..