Uterine leiomyoma causing pseudo-meigs' syndrome : a case report

Publication Date

2015

Document Type

Research

Abstract

Pseudo-Meigs syndrome is a rare pathological entity characterized by the presence of a pelvic tumor other than solid benign ovarian fibroma associated with ascites and pleural effusion. Uterine leiomyomas rarely cause pseudo-Meigs' syndrome. A case of a 35 year old woman, who presented with abdominal enlargement in a span of 6 months. On transvaginal ultrasound, the right ovary was converted into a solid mass with a moderate color flow on the periphery on color mapping. The result of the whole abdominal CT-Scan revealed a massive ascites and minimal left sided pleural effusion. Preoperative evaluation of CA 125 was elevated. Upon, laparotomy, 10 liters of fluid was evacuated and the mass revealed a subserious leiomyoma which was adherent to the omentum. She underwent total abdominal hysterectomy with unilateral salpingo-oophorectony, the diagnosis was subserous leiomyoma, consider Pseudo_Meigs' syndrome. Pleural effusion and ascites subsequently resolved on patient follow-up.

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