Bilateral Ovarian Metastasis from Sigmoid Colon Cancer associated with Pseudo-Meigs Syndrome: A Case Report

We herein report a case of atypical pseudo-Meigs' syndrome without pleural effusion. A 46-year-old woman was diagnosed with an ovarian tumor and sigmoid colon cancer with massive ascites. She underwent surgical resection of the sigmoid colon and bilateral salpingo-oophorectomy. The pathological diagnosis was sigmoid colon cancer with ovarian metastasis. A few days after the operation, the massive ascites disappeared. Immunostaining for vascular endothelial growth factor (VEGF) suggested its overproduction was involved in the development of the ascites. Although cases of pseudo-Meigs' syndrome without pleural effusion are rare, reporting such cases will facilitate the choice of more appropriate treatment strategies in future.

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Atypical Pseudo-Meigs' Syndrome without Pleural Effusion Due to Ovarian Metastasis from Sigmoid Colon Cancer

Omori

Arihara

Abe

et al. 2023

Intern. Med.

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A Case of Long-Term Recurrence-Free Survival after Surgery for Synchronous Ovarian Metastasis of Descending Colon Cancer with Pseudo-Meigs Syndrome in a Young Patient

Miyazaki

Ogiku

Harada

et al. 2021

Jpn J Gastroenterol Surg, Nihon Shokaki Geka Gakkai zasshi

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A 37-year-old woman was admitted to our hospital for a detailed examination of ascites and a lower abdominal mass. Abdominal CT and MRI showed pleural effusion, ascites, a tumor in the descending colon, and a right ovarian tumor. The patient was diagnosed with descending colon cancer by total colonoscopy. Resection of the descending colon and right oophorectomy were performed under a preoperative diagnosis of synchronous right ovarian metastasis from the descending colon cancer or the primary right ovarian tumor. A diagnosis of pseudo-Meigs syndrome due to synchronous ovarian metastasis from the descending colon cancer was made, based on the right ovarian tumor being immunohistochemically positive for CDX2 and disappearance of pleural effusion and ascites after surgery. Postoperative chemotherapy was performed for 36 months and the patient is alive 70 months after surgery without recurrence.

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A Case of Pseudo-Meigs' Syndrome Caused by Metachronous Ovarian Metastasis from Sigmoid Colon Cancer

Iwagami¹,

Mizushima²,

Yumiba³

et al. 2011

Jpn J Gastroenterol Surg

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Bilateral Ovarian Metastasis from Sigmoid Colon Cancer associated with Pseudo-Meigs Syndrome: A Case Report

Cited by 3 publications

References 12 publications

Atypical Pseudo-Meigs' Syndrome without Pleural Effusion Due to Ovarian Metastasis from Sigmoid Colon Cancer

Atypical Pseudo-Meigs' Syndrome without Pleural Effusion Due to Ovarian Metastasis from Sigmoid Colon Cancer

A Case of Long-Term Recurrence-Free Survival after Surgery for Synchronous Ovarian Metastasis of Descending Colon Cancer with Pseudo-Meigs Syndrome in a Young Patient

A Case of Pseudo-Meigs' Syndrome Caused by Metachronous Ovarian Metastasis from Sigmoid Colon Cancer

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