[Oedematous ovarian fibroma with extensive cystic degeneration. A case report and literature review].

We have a patient with 34-years-old. Who's come to the gynecological emergency room, in the general hospital, Dr. Manuel Gea González, because she has colic abdominal pain with increasing intensity. The evolution was to develop acute abdominal pain. The location pain was in the inferior abdomen, predominantly in the left iliac foci, with nausea, no vomit and pondered lose, 4 kg in two months. This is associated with changes in the defecator pattern with tendencies to difficult evacuated. By other side she have irregular menstrual period. Rhythm 15 x 2 in the last two years. And we can touch a large tumoration 13 cm in diameter with regular borders, fixed to the uterus apparently, but no to profounder planes. The tumor is lateralized to the right and she has pain with mobilization, low transvaginal hemorrhage, no fetid and finally the patient developed an acute abdominal pain.