A Rare Case of Giant Ovarian Serous Cystadenoma presenting as Psuedo-Meigs Syndrome

Richmond Ronald Gomes

doi:10.31579/2578-8965/056

Abstract

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.

Highlights

Meigs' syndrome is diagnosed based on a triad of an ovarian fibroma, pleural effusion and ascites
Other benign cysts of the ovary, leiomyoma of the uterus, and secondary metastatic tumours to ovary if associated with hydro thorax and ascites are referred to as ‘Pseudo‐Meigs” syndrome
We presented an 18 years old girl with giant ovarian serous cystadenoma with associated pseudo-meigs syndrome, successfully managed in a low resources setting

Summary

Introduction

Meigs' syndrome is diagnosed based on a triad of an ovarian fibroma, pleural effusion and ascites. An atypical case of Meigs' syndrome was reported in 1990 by Martin, et al .[7] presenting as bilateral sanguineous pleural effusion without ascites in a woman with a granulosa cell tumor. Ms Sharmin, a 18 years old unmarried student presented to the department of Medicine, Ad-din Women’s Medical College Hospital with the complaints of gradual distension of abdomen with dull aching lower abdominal pain and feeling of shortness of breath for last 2 months She denied any fever, chest pain, cough, weight loss or altered bowel habit. Chest x-ray showed right sided pleural effusion (Figure 1). The patient was discharged on 11th postoperative day in a healthy condition She came for follow up after 6 weeks with a repeat abdominal USG and chest X ray which showed complete disappearance of the ascites and right sided pleural effusion.

Discussion

Conclusion

Findings

Brun JL