Diagnostic challenges of ovarian hemangioma: a case report

Background: In postmenopausal women, ovarian malignancies are a major concern among various neoplasms. Ovarian hemangiomas are extremely rare and present diagnostic challenges, particularly in elderly patients. This report highlights a unique case of postmenopausal ovarian capillary hemangioma, emphasizing the challenges in differentiating it from malignant neoplasms. Case: A woman in her mid-70s with a history of breast cancer presented with an ovarian mass that resembled a borderline tumor. Imaging and laparoscopic findings indicate a septated cystic mass, which was later confirmed as a primary ovarian capillary hemangioma through histopathological analysis. Conclusions: This case underscores the diagnostic challenges related to ovarian capillary hemangioma in postmenopausal women and highlights the significance of awareness to prevent unnecessary radical surgery.