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Abstract
Leiomyoma uterus is the most common cause for pseudo-Meigs’ syndrome. A huge abdominopelvic mass with massive ascites can be mistaken with ovarian neoplasm. Ultrasonography is the primary modality used for diagnosis. The cystic degenerations present in leiomyoma can mimic as ovarian tumor and pose a diagnostic dilemma. There is a risk of recurrence of leiomyoma after myomectomy, thereby subjecting the patient to repeat surgery. Raised levels of CA 125 can also mislead in making the diagnosis. Cases of pseudo-Meigs’ syndrome have good prognosis.
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