Oliveira E1, Nishida MB2, Rodrigues JMS3, Oliveira e Silva RP1, Delis I1, Iazzetti FF1 and Ribeiro
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, BrazilFulltext PDF
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.
Gynecological trauma; Fibrothecoma; Blunt abdominal trauma; Ovarian tumor
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..