Metastatic pancreatic cancer during pregnancy presenting as pseudo-Meigs’ syndrome

Abstract

Meigs’ syndrome is characterized by nonmalignant ascites and pleural effusions in women with ovarian fibromas, thecomas, granulosa cell tumors, or Brenner’s tumors [1]. Importantly, both the ascites and pleural effusions spontaneously resolve after removal of the ovarian tumor. Pseudo-Meigs’ syndrome refers to the same clinical presentation and course in the setting of other ovarian tumors. Pseudo-Meigs’ syndrome is rare and most often associated with struma ovarii or uterine tumors such as leiomyomas; however, there are reports associated with ovarian metastases, including gastrointestinal malignancies [2]. Here, we report the first case of pseudo-Meigs’ syndrome secondary to metastatic pancreatic adenocarcinoma. In addition, the reported patient presented during pregnancy. Pseudo-Meigs’ has been described during pregnancy, though this is the first case reported from ovarian metastases.