We report the case of a 63-year-old, menopausal patient, yielding hirs
utism an associated with clinical virilization. Biological data eviden
ced an increased androgen production (plasma testosterone at 1.8 and 2
.1 ng/ml). Radiological exams (ultrasonography, CT Scan and MRI Scan)
failed to find any ovarian tumor, which led to perform an ovarian sele
ctive venous percutaneous catheterization. A stromal Leydig cell tumor
, associated with a hilar leydigian hyperplasia, was evidenced in path
ology. Clinical, biological, radiological and pathological data are su
ccessively discussed. Pathophysiology of Leydig cell tumor, particular
ly when located in the ovarian stroma, is also reviewed.