DIFFUSE INTRAABDOMINAL FIBROMATOSIS IN ASSOCIATION WITH BILATERAL OVARIAN FIBROMATOSIS AND EDEMA

A case of bilateral ovarian enlargement secondary to massive ovarian o edema with underlying intra-abdominal and pelvic fibromatosis is prese nted. Bilateral salpingo-oophorectomy and hysterectomy led to rapid pr ogression of the intra-abdominal and pelvic fibromatosis, which was pr eviously unsuspected. The case highlights the importance of recognizin g massive oedema of the ovary as a distinct entity as it is a benign c ondition affecting young females and can be confused with ovarian neop lasm. In this case, the major morbidity was from the underlying diffus e intra-abdominal fibromatosis. Conservative management with prolonged bowel rest, total parenteral nutrition, and intravenous steroid and T amoxifen successfully led to complete resolution of bowel obstruction from diffuse fibromatosis.