Shimoda Masafumi, Tanaka Yoshiaki, Morimoto Kozo, Moue Iori, Ohta Ken
Respiratory Disease Center, Fukujuji Hospital, Kiyose, JPN.
Cureus. 2024 Feb 22;16(2):e54686. doi: 10.7759/cureus.54686. eCollection 2024 Feb.
We present a rare case of a 45-year-old woman with pseudo-Meigs' syndrome and eosinophilic pleural effusion (EPE). She experienced cough, sputum, and dyspnea with a large right pleural effusion. Laboratory tests showed eosinophilia in the blood and pleural fluid. An ovarian tumor and ascites were also detected. After left salpingo-oophorectomy, the tumor was diagnosed as a mature cystic teratoma of the left ovary. The right-sided pleural effusion gradually resolved. Pseudo-Meigs' syndrome is characterized by benign ovarian tumor, ascites, and pleural effusion. Typically, it is associated with exudate pleural effusion characterized by a predominance of mononuclear cells. The occurrence of eosinophilic pleural effusion in our patient may be exceptionally rare.
我们报告一例罕见的45岁女性，患有假性梅格斯综合征和嗜酸性胸腔积液（EPE）。她出现咳嗽、咳痰和呼吸困难，伴有大量右侧胸腔积液。实验室检查显示血液和胸腔积液中嗜酸性粒细胞增多。还检测到卵巢肿瘤和腹水。左输卵管卵巢切除术后，肿瘤被诊断为左侧卵巢成熟囊性畸胎瘤。右侧胸腔积液逐渐消退。假性梅格斯综合征的特征是良性卵巢肿瘤、腹水和胸腔积液。通常，它与以单核细胞为主的渗出性胸腔积液有关。我们患者出现嗜酸性胸腔积液可能极为罕见。
