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A challenging case of pseudo Meigs syndrome: A case report
Author(s):
1. Fozia Umber Qureshi: Department of Gynaecology, and Obstetrics, Shalamar Hospital, Lahore, Pakistan
2. Wajeeha Asghar Alvi: Department of Gynaecology, and Obstetrics, Shalamar Hospital, Lahore, Pakistan.
Abstract:
Meigs Syndrome is a rare condition characterised by Ovarian fi broma, ascites and pleural effusion. Pseudo Meigs is called so because it mimics Meigs but occurs with tumours other than fi bromas. The objective of this case report is to shed light on the diverse presentations of Ovarian carcinomas. We herein report a rare case of Pseudo Meigs syndrome in a 32-year-old female patient parity one and no miscarriage and who had right-sided ovarian mass, gross ascites and right-sided pleural effusion with cancer antigen 125 value of 518.5 IU/L. Clinical Diagnosis was that of Meigs Syndrome. The patient underwent laparotomy for surgical staging and large right-sided ovarian mass with draining of nine litres of ascitic fl uid and total abdominal hysterectomy and bilateral salpingo-oophorectomy. The histopathology report showed that it was Endometroid Adenocarcinoma FIGO Grade 3. Defi nitive diagnosis was that of Pseudo Meigs Syndrome. The case was a diagnostic challenge and difficult to manage. The diverse presentation of ovarian carcinomas makes them difficult to diagnose and clinicians should have a high index of suspicion while managing such cases.
Page(s): 547-549
DOI: DOI not available
Published: Journal: Journal of Pakistan Medical Association, Volume: 72, Issue: 3, Year: 2022
Keywords:
Pleural effusion , Ascites , Ovarian Fibroma
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