Subserous uterine fibroid presenting atypically with features of pseudo-meig's syndrome

Abstract

To describe an atypical presentation of subserous uterine fibroid. We report a case of pseudo-Meig's syndrome from subserous uterine fibroid in a 31-year-old para 0+0 woman who had myomectomy, appendectomy, and bilateral wedge resection of both ovaries. Histopathological examination confirmed uterine leiomyoma, appendicitis, and normal ovaries. Pseudo-Meig's syndrome is a condition which describes the association of any ovarian tumour (other than ovarian fibroma) or any other pelvic tumor such as leiomyoma with ascites and pleural effusion. Very few studies have reported the association of this entity with leiomyoma. It becomes highly important to identify this condition as it is a curable condition mimicking malignancy and can avoid unnecessary interventions. Subserous fibroid presenting with pseudo-Meig's syndrome is a rarely reported entity, especially in Nigeria, which can mimic malignant condition; hence, it is important to consider it as a differential in patients within the reproductive age presenting with ascites.