妊娠期梅格斯综合征1例罕见病例。
A rare case of Meigs syndrome in pregnancy.
作者信息
Ziruma Asaph, Hukuimwe Misai, Nyakura Michael, Majangara Rumbidzai, Venge Mervyn
机构信息
Department of Obstetrics and Gynaecology, University of Zimbabwe, College of Health Sciences, Harare, Zimbabwe.
出版信息
Pan Afr Med J. 2019 May 16;33:36. doi: 10.11604/pamj.2019.33.36.18653. eCollection 2019.
We present a case of Meigs syndrome in a 19 year old woman. We suspected metastatic ovarian cancer after she had presented in her first pregnancy at 12 weeks gestation. Ultrasound scan had confirmed a complex solid mass in the left adnexa, measuring 7cm x 8cm, a viable 12 weeks pregnancy and gross ascites. She had elevated Ca 125 and serum beta - HCG. She went on to have a spontaneous miscarriage while being worked up for exploratory laparotomy. At laparotomy, a left sided solid ovarian mass 8cm x 10cm with a smooth surface and intact capsule was found. This was later confirmed to be a fibrothecoma at histology. The patient went on to recover without any further reaccumulation of ascites.
我们报告一例19岁女性的梅格斯综合征。她在妊娠12周首次就诊时，我们怀疑为转移性卵巢癌。超声检查证实左侧附件有一个7厘米×8厘米的复杂实性肿块、一个存活的12周妊娠及大量腹水。她的癌抗原125和血清β-人绒毛膜促性腺激素升高。在为剖腹探查术做检查期间，她发生了自然流产。剖腹探查术中，发现左侧有一个8厘米×10厘米的实性卵巢肿块，表面光滑，包膜完整。组织学检查后来证实这是一个纤维卵泡膜瘤。患者随后康复，腹水未再积聚。
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