Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin

Fibromas are the most common benign solid tumors of the ovary. Clinically, they are asymptomatic and preoperative diagnosis is often difficult. In this paper we report a case of fibroma as a cause of fever of unknown origin (FUO). A 26-year-old woman referred to our hospital with a one-month histo...

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Main Authors: İkbal Kaygusuz, Ayla Eser, İlknur İnegöl Gümüş, İsmail Kırbaş, Kayıhan Akın, Hacer Haltas, Hasan Kafalı
Format: Article
Language:English
Published: Medical Network 2015-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/47
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author İkbal Kaygusuz
Ayla Eser
İlknur İnegöl Gümüş
İsmail Kırbaş
Kayıhan Akın
Hacer Haltas
Hasan Kafalı
author_facet İkbal Kaygusuz
Ayla Eser
İlknur İnegöl Gümüş
İsmail Kırbaş
Kayıhan Akın
Hacer Haltas
Hasan Kafalı
author_sort İkbal Kaygusuz
collection DOAJ
description Fibromas are the most common benign solid tumors of the ovary. Clinically, they are asymptomatic and preoperative diagnosis is often difficult. In this paper we report a case of fibroma as a cause of fever of unknown origin (FUO). A 26-year-old woman referred to our hospital with a one-month history of intermittent fever. Ultrasonography as well as pelvic computed tomography scans showed a hypoechoic appearance in the right adnexal region which was diagnosed as pyosalpinx, in the light of clinical setting. Pus drainage was then planned but 3cc of serous material was drained from the adnexal mass with ultrasound-guide. Despite antibiotic therapy, her fever continued. She had a comprehensive work-up for FUO, including rheumatologic, infectious, and malignant etiologies. Magnetic resonance imaging (MRI) scans of the pelvis showed two well defined ovarian lesions, which were suggestive of an ovarian fibroma. MRI findings that are suggestive of gynecological infectious diseases were not detected. Then laparoscopy was scheduled. The patient responded well to surgery and the fever resolved after surgery. She is now in the ninth postoperative month and still has no fever.
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publishDate 2015-04-01
publisher Medical Network
record_format Article
series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-298677e0c9704b41879fa691c1cd6f042025-02-11T21:25:20ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182015-04-0121142Ovarian Fibroma as a Possible Cause of Fever of Unknown Originİkbal Kaygusuz0Ayla Eser1İlknur İnegöl Gümüş2İsmail Kırbaş3Kayıhan Akın4Hacer Haltas5Hasan Kafalı6Turgut Ozal University Medical School, Department of Obstetrics and Gynecology, AnkaraTurgut Ozal University Medical School, Department of Obstetrics and Gynecology, AnkaraTurgut Ozal University Medical School, Department of Obstetrics and Gynecology, AnkaraTurgut Ozal University Medical School, Department of Radiology, AnkaraTurgut Ozal University Medical School, Department of Radiology, AnkaraTurgut Ozal University Medical School, Department of Pathology, AnkaraTurgut Ozal University Medical School, Department of Obstetrics and Gynecology, Ankara Fibromas are the most common benign solid tumors of the ovary. Clinically, they are asymptomatic and preoperative diagnosis is often difficult. In this paper we report a case of fibroma as a cause of fever of unknown origin (FUO). A 26-year-old woman referred to our hospital with a one-month history of intermittent fever. Ultrasonography as well as pelvic computed tomography scans showed a hypoechoic appearance in the right adnexal region which was diagnosed as pyosalpinx, in the light of clinical setting. Pus drainage was then planned but 3cc of serous material was drained from the adnexal mass with ultrasound-guide. Despite antibiotic therapy, her fever continued. She had a comprehensive work-up for FUO, including rheumatologic, infectious, and malignant etiologies. Magnetic resonance imaging (MRI) scans of the pelvis showed two well defined ovarian lesions, which were suggestive of an ovarian fibroma. MRI findings that are suggestive of gynecological infectious diseases were not detected. Then laparoscopy was scheduled. The patient responded well to surgery and the fever resolved after surgery. She is now in the ninth postoperative month and still has no fever. https://gorm.com.tr/index.php/GORM/article/view/47Ovarian fibromasFever of unknown originMagnetic resonance imaging
spellingShingle İkbal Kaygusuz
Ayla Eser
İlknur İnegöl Gümüş
İsmail Kırbaş
Kayıhan Akın
Hacer Haltas
Hasan Kafalı
Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin
Gynecology Obstetrics & Reproductive Medicine
Ovarian fibromas
Fever of unknown origin
Magnetic resonance imaging
title Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin
title_full Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin
title_fullStr Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin
title_full_unstemmed Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin
title_short Ovarian Fibroma as a Possible Cause of Fever of Unknown Origin
title_sort ovarian fibroma as a possible cause of fever of unknown origin
topic Ovarian fibromas
Fever of unknown origin
Magnetic resonance imaging
url https://gorm.com.tr/index.php/GORM/article/view/47
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AT ismailkırbas ovarianfibromaasapossiblecauseoffeverofunknownorigin
AT kayıhanakın ovarianfibromaasapossiblecauseoffeverofunknownorigin
AT hacerhaltas ovarianfibromaasapossiblecauseoffeverofunknownorigin
AT hasankafalı ovarianfibromaasapossiblecauseoffeverofunknownorigin