A Case of Pseudo-Meigs Syndrome Caused by a Giant Uterine Leiomyoma with Cystic Degeneration.

A Case of Pseudo-Meigs Syndrome Caused by a Giant Uterine Leiomyoma with Cystic Degeneration. J Nippon Med Sch. 2019 Dec 27;: Authors: Yaguchi A, Ban K, Koshida Y, Fujikami Y, Ogura E, Terada A, Akagi K, Matsumoto H, Tobiume T, Okagaki A, Tatsumi K Abstract Pseudo-Meigs syndrome is defined as the secondary accumulation of ascites and hydrothorax associated with pelvic tumor other than benign ovarian tumor such as fibroma, which classically resolve upon surgical removal of the tumor. Here we report a case of pseudo-Meigs syndrome caused by a giant uterine leiomyoma, which was initially suspected to be ovarian cancer. A 37-year old nulliparous woman presented with a 5-month history of abdominal distension and anorexia. Abdominal ultrasonography revealed the presence of a giant cystic lesion and solid mass in the peritoneal cavity along with a massive ascites. Chest X-ray images showed a small pleural effusion on the right side. Because general physicians suspected ovarian cancer and peritonitis carcinomatosis, the patient was referred to our hospital. Although the CA125 serum level was elevated (up to 331.8 U/ml), magnetic resonance imaging (MRI) showed the presence a giant sub-serosal uterine leiomyoma with cystic degeneration, with dimensions 27×15×13 cm. A small dermoid cyst was also detected in the right ovary. The ascites was surgically removed and the patient underwent myomectomy and ovarian cystectomy. We concluded that the pa...
Source: Journal of Nippon Medical School - Category: Universities & Medical Training Authors: Tags: J Nippon Med Sch Source Type: research