Gianchandani Gyani Sanjeev G, Yeola Meenakshi, Keshwani Resha O, Gianchandani Sachin G, Katariya Pankaj
Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Minimal Access and Robotic Surgery, Anglia Ruskin University, Chelmsford, ARE.
Cureus. 2024 Jan 21;16(1):e52689. doi: 10.7759/cureus.52689. eCollection 2024 Jan.
Demons-Meigs syndrome is a rare clinical presentation of benign ovarian mass with hydrothorax and ascites. As ascites can be present in any ovarian mass, hydrothorax is a salient feature of the syndrome. The syndrome is subtyped as atypical in the absence of ascites from the triad. Nevertheless, it is labeled as pseudo-Demons-Meigs syndrome if the ovarian tumor is neoplastic rather than benign. The management of Demons-Meigs syndrome is complex and could be misleading due to pleural effusion and ascites, so an understanding of the syndrome is important. This case report is unique as it has two rare findings of neoplastic tumor and absence of ascites. Furthermore, this case is distinct as both ovaries are involved in malignant granulosa theca cell tumor with right-sided pleural effusion without ascites.
梅格斯综合征是一种伴有胸腔积液和腹水的良性卵巢肿块的罕见临床表现。由于腹水可出现在任何卵巢肿块中，胸腔积液是该综合征的一个显著特征。若三联征中没有腹水，则该综合征被归类为非典型。然而，如果卵巢肿瘤是恶性而非良性的，则被称为假性梅格斯综合征。梅格斯综合征的治疗很复杂，由于胸腔积液和腹水可能会产生误导，因此了解该综合征很重要。本病例报告很独特，因为它有两个罕见的发现：肿瘤性肿瘤和无腹水。此外，该病例的独特之处在于双侧卵巢均累及恶性颗粒细胞瘤，伴有右侧胸腔积液且无腹水。
