meigs syndrome

Open accessCase ReportArticle ID: cjog-aid1078Views: 41Download: 47

A rare case of giant ovarian serous cystadenoma presenting as psuedo-meigs syndrome

Richmond Ronald Gomes*, Sayeda Noureen and Habiba Akhter

Published on: 18th January, 2021

OCLC Number/Unique Identifier: 8897949620

Meigs’ syndrome is a rare condition characterized by the presence of a benign fibroma of the ovary, ascites and pleural effusion. Other benign cysts of the ovary (such as struma ovarii, mucinous cystadenoma, serous cystadenoma and teratomas), leiomyoma of the uterus, and secondary metastatic tumours to ovary if associated with hydro thorax and ascites are referred to as ‘Pseudo-Meigs” syndrome. It very uncommon and diagnosis is made difficult by symptoms that usually mimic disseminated malignancy or tuberculosis. The gold standard treatment is laparotomy and, by definition of the syndrome, after tumor removal, the symptoms resolves and the patients become asymptomatic. We presented an 18 years old girl with giant ovarian serous cystadenoma with associated pseudo-meigs syndrome, successfully managed in a low resources setting.

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Abstract DOI: 10.29328/journal.cjog.1001078 Read Full Article HTML Read Full Article PDF

Open accessCase ReportArticle ID: jprr-aid1021Views: 25Download: 34

A case report on Meigs’ syndrome and elevated serum CA-125: A rare case report

Divya Khanduja* and NC Kajal

Published on: 24th March, 2021

OCLC Number/Unique Identifier: 9038781665

Meigs syndrome is an uncommon presentation, where a benign ovarian neoplasia presents along with ascites and pleural effusion. About 1% of ovarian neoplasia can present as Meigs syndrome. Patients with Meigs’ syndrome and elevated serum CA-125 are not frequently reported. We report a case of a 50-year-old women who presented with shortness of breath, cough, weight loss of one and half month duration. Chest radiograph of the patient with clinical examination of patient confirms pleural effusion as cause of progressive shortness of breath. The presence of a pelvic mass and elevated serum CA-125, which raised the possibility of malignancy. After complete resection of tumor, the pathologic reports confirmed a benign ovarian neoplasia. We highlight the importance of suspicion, careful general examination, radiological assessment and histological tests to confirm the diagnosis of Meigs’ syndrome.

Abstract DOI: 10.29328/journal.jprr.1001021 Read Full Article HTML Read Full Article PDF

Open accessCase ReportArticle ID: cjog-aid1120Views: 45Download: 53

Meigs syndrome: About an uncommon case report

Aziz Slaoui*, Hanaa Lazhar, Noha Amail, Najia Zeraidi, Amina Lakhdar, Aicha Kharbach and Aziz Baydada

Published on: 6th January, 2023

Background: Ovarian fibroma is a very unusual epithelial tumor representing less than 1% of all ovarian tumors. It can be asymptomatic and discovered during surgery or be associated with a pleural effusion preferentially located on the right side and a more or less abundant free ascites in the framework of the so-called Meigs syndrome. The challenge of management then lies in distinguishing benign from malignant since clinically, radiologically, and biologically everything points towards malignant which requires radical surgical treatment. We report here the case of a 69-year-old postmenopausal patient with a clinical form of Meigs' syndrome that strongly suggested ovarian cancer.Case presentation: We hereby report here the case of a 69-year-old patient, menopausal, gravida 4 para 3 with 3 live children delivered vaginally and one miscarriage. She presented with ascites, hydrothorax, and a solid tumor of the ovary. Serum CA 125 and HE 4 levels were very high. ROMA score was highly suggestive of malignancy. A hysterectomy with adnexectomy was performed. It was only the histological evidence of ovarian fibroma and the rapid resolution of its effusions that confirmed Meigs syndrome.Conclusion: Meigs syndrome is an anatomical-clinical entity that associates a benign tumor of the ovary, ascites, and hydrothorax. Highly elevated CA 125 and HE-4 tumor markers often point clinicians toward a malignant tumor and compel radical surgical treatment. This case report reminds us once again that only histology confirms the diagnosis of cancer.

Abstract DOI: 10.29328/journal.cjog.1001120 Read Full Article HTML Read Full Article PDF

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