Pseudo Meig's syndrome- a case report

A Amatya,G Gurung,A Rana

doi:10.3126/joim.v28i1.445

Abstract

This case concerns Pseudo-Meigs' in a 34year old lady with 3 months history of abdominal pain and distension due to ascites and pelvic mass along with massive right pleural effusion who underwent thoracocentesis and total abdominal hysterectomy with bilateral salphingooophorectomy and total omentectomy for ovarian malignancy histologically proven to be papillary adenocarcinoma with negative cytology of ascitic and pleural fluid, that resolved following tumour removal. Journal of Institute of Medicine Vol.28(1) 2006

Highlights

Pseudo-Meig is a condition where other type of tumor as a variant to ovarian fibroma associated with hydrothorax and ascites containing no malignant cells, which resolve after removal of tumor
She was taken for surgery and because of poor lung field and massive pleural effusion on the right side depicted by the X Ray; chest tube drain was inserted prior to laparotomy draining 1750 ml of clear pleural fluid (Fig. 1)
These are classified under PseudoMeig's Syndrome even when they are found to be malignant like dysgerminoma., Dysgerminoma should be considered in the differential diagnosis in a young patient with a pelvic mass, ascites, and pleural effusion

Summary

Introduction

Pseudo-Meig is a condition where other type of tumor as a variant to ovarian fibroma associated with hydrothorax and ascites containing no malignant cells, which resolve after removal of tumor. Case Report: This case concerns Pseudo-Meigs' in a 34year old lady with 3 months history of abdominal pain and distension due to ascites and pelvic mass along with massive right pleural effusion who underwent thoracocentesis and total abdominal hysterectomy with bilateral salphingooophorectomy and total omentectomy for ovarian malignancy histologically proven to be papillary adenocarcinoma with negative cytology of ascitic and pleural fluid, that resolved following tumour removal. Thirty four year old lady presented to the emergency room with complaints of pain abdomen and distension of the lower abdomen along with shortness of breath and cough with sputum for three months.There was no alterations in bladder or bowel habits.

Discussion

Findings

Conclusion