Department of Gynaecology, and Obstetrics, Shalamar Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2022 Mar;72(3):547-549. doi: 10.47391/JPMA.128.
Meigs Syndrome is a rare condition characterised by Ovarian fibroma, ascites and pleural effusion. Pseudo Meigs is called so because it mimics Meigs but occurs with tumours other than fibromas. 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 fluid and total abdominal hysterectomy and bilateral salpingo-oophorectomy. The histopathology report showed that it was Endometroid Adenocarcinoma FIGO Grade 3. Definitive 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.
梅格斯综合征是一种罕见的疾病，其特征是卵巢纤维瘤、腹水和胸腔积液。假性梅格斯综合征之所以被称为假性，是因为它模仿了梅格斯综合征，但发生在纤维瘤以外的肿瘤中。本病例报告的目的是阐明卵巢癌的多种表现形式。我们在此报告一例罕见的 32 岁女性患者的假性梅格斯综合征病例，该患者为初产妇，无流产史，右侧卵巢有肿块，大量腹水和右侧胸腔积液，癌抗原 125 值为 518.5IU/L。临床诊断为梅格斯综合征。患者接受了剖腹手术进行手术分期，切除了右侧卵巢的大肿块，排出了 9 升腹水，并进行了全子宫切除术和双侧输卵管卵巢切除术。组织病理学报告显示为子宫内膜样腺癌 FIGO 分级 3 级。明确诊断为假性梅格斯综合征。该病例是一个诊断挑战，难以处理。卵巢癌的多种表现形式使其难以诊断，临床医生在处理此类病例时应保持高度怀疑。
