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.

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Dr Alla Satyanarayana Reddy

Professor and Head of the Department of Obstetrics and Gynaecology,

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

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