Title: Pseudo-Meigs Syndrome: A Case Report

Authors: Dr Shubhi Pandey, Dr Satyanarayana Reddy Alla, Dr Mohammad Afzal Siddique

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.05

Abstract

Meigs syndrome is defined as the co-existence of hydrothorax and ascites with solid benign ovarian tumours, which resolve on removal of the tumour. Hydrothorax and ascites associated with pelvic tumours other than described in Meig`s syndrome is called Pseudo-Meig`s syndrome.

A 45 years old woman presented with abdominal distention and discomfort for one year and breathlessness for one month. Clinical examination and investigations showed hydrothorax, ascites and a large pelvic tumour palpable abdominally, another mass palpable per vaginally. Thoracocentesis and abdominal paracentesis done for symptomatic relief. Exploratory laparotomy done. Total hysterectomy and bilateral salpingo-oopherectomy done.

Histo pathological examination of the mass confirmed it as an ovarian , serous, borderline  tumour. The immediate postoperative resolution of hydrothorax and ascites confirmed the diagnosis of Pseudo-Meigs syndrome.

Keywords:  Ascites, hydrothorax, Meigs syndrome, Pseudo-Meigs syndrome.

 

References

  1. Kazanov L, Ander DS, Enriquez E, Jaggi FM. Pseudo-Meigs Am J Emerg Med 1998; 16 (4): 404-405
  2. Amant F, Gabriel C, Timmerman D, Vergote I. Pseudo-Meigs syndrome  caused by hydropic degenerating uterine leiomyoma with elevated CA 125. Gynecol Oncol 2002; 83 (1): 153-157
  3. Domingo P, Montiel JA, Monill JM, Prat J. Pseudo-Meigs syndrome with elevated CA 125 levels. Arch Intern Med 1998; 158 (12): 1378-1379.
  4. Huh JJ, Montz FJ, Bristow RE. Struma ovarii associated with pseudo-Meigs syndrome and elevated serum CA 125. Gynecol Oncol 2002; 86 (2): 231-234
  5. Migishima F, Jobo T, Hata H, Sato R, Ikeda Y, Arai M, Kuramoto H. Uterine leiomyoma causing massive ascites and left pleural effusion with elevated CA 125: A case report. J Obstet Gynecol Res 2000; 26 (4): 283-287
  6. Giannakopoulos K, Giannakopoulou CH, Matalliotakis I, Neonaki M, Papanicolaou N, Koumantakis E. Pseudo-Meigs syndrome caused by paraovarian fibroma. Eur J Gynecol Oncol 1998; 19 (4): 389-390
  7. Koak YP, Thomas JM. Leiomyoblastoma of the colon presenting as pseudo-Meigs syndrome. Eur J Surg Oncol 1999; 25 (4): 446-447.
  8. Koutras A, Fischer S. Variant of pseudo-Meigs syndrome. Int J Gynecol Obstet 1983; 21 (2): 179-182
  9. Nagakura S, Shirai Y, Hatakeyama K. Pseudo-Meigs syndrome caused by secondary ovarian tumors from gastrointestinal cancer: A case report and review of the literature. Dig Surg 2000; 17 (4): 418-419.

Corresponding Author

Dr Alla Satyanarayana Reddy

Professor and Head of the Department of Obstetrics and Gynaecology,

Vinayaka Mission`s Medical College & Hospital, Karaikal, Pondicherry, India. 609609

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.