Case Report on Ovarian Tumour Mimicking Ovarian Fibrothecoma

This case report describes an 80-year-old female with a history of postmenopausal status who presented with diffuse left-sided lower abdominal pain, swelling, vomiting, constipation, weight loss, and loss of appetite. Imaging studies revealed a lobulated soft tissue lesion on the left lateral wall of the uterus, suggestive of a sex cord-stromal tumour with degenerative changes. Surgical interventions included total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymph node dissection. Histopathological analysis conrmed the presence of brothecoma. Postoperative recovery was uneventful, with resolution of the immediate symptoms and management of postoperative urinary incontinence. Immunohistochemical markers supported the diagnosis of the brothecoma. This case emphasises the importance of thorough evaluation, multimodal imaging, surgical intervention, and histopathological analysis in managing complex gynaecological conditions such as brothecomas.