Abstract

Summary A case of Meigs's syndrome is reported. Before the diagnosis an exploratory thoracotomy was made, followed by the resorption of the hydrothorax and the speedy increase of the ascites, which was limited before the thoracotomy. The laparotomy revealed the presence of a cystadenoma of the ovary: the extirpation of this resulted in the resorption of the ascites. The disappearance of the hydrothorax and the increase of the ascitic fluid, after thoracotomy, was due to the blockage of normal lymph vessels. This stopped the flow of the ascitic fluid into the thorax and led to its accumulation in the peritoneal cavity.

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