Abstract:

Aggressive abdominal fibromatosis is a rare disease that is often misdiagnosed as carcinoma from ovarian or gastrointestinal due to untypical clinical signs and accessory examination symptoms. A retrospective study was conducted to analyze the diagnosis and treatment procedure of a women childbearing age who was misdiagnosed as ovarian tumor after color Doppler ultrasound examination due to huge abdominal and pelvic masses. Stromal tumor was considered according to the result of MRI. Exploration surgery was performed and the carcinoma deriving from transversum colon was identified. Doctors of anorectal department helped to remove the tumor completely. The postoperative histopathology and immunohistochemistry results suggested a aggressive fibromatosis disease of the colon. After more than 2 years′ follow-up, the patient recovered well and there is no signs of recurrence.

Key words: Ovarian neoplasms, Fibromatosis, Diagnostic errors, Diagnosis, Case reports