A rare case of ovarian pathology: diffuse large B cell lymphoma of over

Primary ovarian non-Hodgkin lymphoma is a challenging diagnosis due to its rarity, often leading to delayed treatment, wrong diagnosis, and inappropriate therapy. The patient in this case presentation presented with abdominal pain as the initial symptom. Subsequent abdominal computed tomography revealed a bilateral heterogeneous ovarian mass measuring approximately 6x10x10 cm on the left side and 14x10x7 cm on the right side. An intestinal mass lesion was observed in the ileal ans, causing diffuse wall thickening of ~2 cm at its widest point and focal lumen widening in an ~11 cm segment (lymphoma?). A transvaginal ultrasound was also performed, revealing two cystic masses, one measuring 10 cm and the other 12 cm, with dense and heterogeneous contents filling the uterine cavity and pelvis. Subsequently, a total abdominal hysterectomy, bilateral salpingo-oophorectomy, bilateral pelvic lymph node dissection, and small bowel resection and anastomosis were performed.