Case Report
 
Pseudo-Meigs syndrome: A case report
Divya Kallarackal1, Dharampal Singh2
1MS OBGY, Consultant Gynaecologist, Department of Obstetrics and Gynaecology, Lethsolathebe II Memorial Hospital, Maun, Botswana
2MD Anaesthesiology, Consultant Anaesthesiologist, Department of Anaesthesiology, Lethsolathebe II Memorial, Hospital, Maun, Botswana

Article ID: Z01201705CR10796DK
doi:10.5348/ijcri-201757-CR-10796

Address correspondence to:
Divya Dayanandan Kallarackal
P.O. BOX, 12, Lethsolathebe II
Memorial Hospital, Maun
Botswana

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How to cite this article
Kallarackal D, Singh D. Pseudo-Meigs syndrome: A case report. Int J Case Rep Images 2017;8(5):331–334.


ABSTRACT
Introduction:Meigs syndrome and pseudo-Meigs syndrome both presents with hydrothorax and ascites. Meigs syndrome is characteristically associated with ovarian fibroma whereas pseudo-Meigs syndrome is associated with any ovarian or pelvic tumors, other than ovarian fibroma.
Case Report: A 48-year-old perimenopausal woman presented with a long history of 8–10 years of abdominal distension. Her examination revealed a right pleural effusion, massive ascites and large heterogeneous pelvic tumor, measuring 42x31 cm. After a preoperative ascitic tapping, the patient underwent an exploratory laparotomy with excision of the tumor, uterus and the right ovary. The tumor was diagnosed histologically as an ovarian mucinous cystadenoma. The postoperative resolution of hydrothorax and ascites confirmed the diagnosis of pseudo-Meigs syndrome. The patient remains in good condition 12 months after surgery.
Conclusion: pseudo-Meigs syndrome being a rare syndrome, with a good prognosis should be included in differential diagnosis in women presenting with unexplained hydrothorax and ascites.

Keywords: Ascites, Hydrothorax, Ovarian tumor, Pseudo-Meigs syndrome




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Author Contributions
Divya Dayanandan Kallarackal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dharampal Singh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Divya Dayanandan Kallarackal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.