Baazeem Mazin S, AlJumah Modhi M, AlSalim Norah F, AlMalki Salman
Department of Obstetrics and Gynecology, Women Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.
J Surg Case Rep. 2023 Mar 15;2023(3):rjad080. doi: 10.1093/jscr/rjad080. eCollection 2023 Mar.
Meigs' syndrome is defined as a secondary triad of ascites, pleural effusion and benign ovarian tumor, usually fibroma. While pseudo-Meigs' syndrome is a rare condition that is associated with benign ovarian tumor-other than fibroma-or even malignant. The case presented is a 40-year-old Saudi, nulliparous woman who was referred for precise diagnostic work-up as a case of huge pelvic-abdominal mass, tense ascites and pleural effusion. After further investigations cancer antigen-125 was found to be elevated. An abdominal CT scan revealed significant interval increase in the size of ascites, which cause huge abdominal distention, as well as a significant pleural effusion. Pathology of surgical specimens revealed a giant uterine leiomyoma, whereas the omentum excision surprisingly confirmed multiple disorganized arteries and veins, which resulted in omental arteriovenous malformation. To the best of our knowledge, this is the first reported case in the worldwide literature of two different rare conditions.
梅格斯综合征被定义为腹水、胸腔积液和良性卵巢肿瘤（通常为纤维瘤）组成的继发性三联征。而假性梅格斯综合征是一种罕见病症，与非纤维瘤的良性卵巢肿瘤甚至恶性肿瘤相关。所呈现的病例是一名40岁未生育的沙特女性，因巨大盆腔腹部肿块、大量腹水和胸腔积液被转诊进行精确诊断检查。进一步检查后发现癌抗原125升高。腹部CT扫描显示腹水大小显著增加，导致腹部极度膨隆，同时还有大量胸腔积液。手术标本病理显示为巨大子宫平滑肌瘤，而大网膜切除标本令人惊讶地证实有多处杂乱的动静脉，导致大网膜动静脉畸形。据我们所知，这是全球文献中首次报道的同时存在两种不同罕见病症的病例。
