Pseudo‐Meigs' Syndrome Secondary to Broad Ligament Leiomyoma: A Case Report

Buckshee, K; Dhond, Abhay J.; Mittal, Suneeta; Bose, Shikha

doi:10.1111/j.1447-0756.1990.tb00226.x

Cited by 20 publications

(7 citation statements)

References 5 publications

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“…They are mostly from gastro-intestinal (colo-rectal and gastric) cancers [4] but also from breast [5], renal cancers [6] and peritoneal gliomatosis [7]. The syndrome has also been reported in a few cases of leiomyomas of the uterus [8] and of the broad ligament [9].…”

Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Neef¹,

Noël²,

Buxant³

2012

OJOG

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We report the case of a 61-year old woman presented with a voluminous centro-pelvic mass (22 × 17 cm), hydrothorax and ascites. Serum CA-125 was high (11,000 UI/ml). An explorative laparotomy located the mass between the rectum and the posterior wall of the uterus. The histological examination showed a primitive peritoneal tumor with serous and endometrioid differentiations. There was a left ovarian metastasis and both peritoneal and pleural liquids revealed no sign of malignancy. After the incomplete surgery, the hydrothorax and ascites decreased considerably. This association of Pseudo-Meigs’ syndrome with primitive peritoneal tumor is uncommon. To our knowledge this is the first case described through a Medline search

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Section: Discussionmentioning

confidence: 99%

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Neef¹,

Noël²,

Buxant³

2012

OJOG

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“…Most commonly reported presenting signs are abdominal distention and 'fullness', dyspnoea, and a palpable abdominal mass. In one case with a GCT, vaginal bleeding (an oestrogen associated clinical sign) was also present (Rush 1976;O'Flanagan et al 1987;Buckshee et al 1990;Choi et al 2005;Kurai et al 2005;Maeda et al 2011).…”

Section: Discussionmentioning

confidence: 99%

Ascites in a 13‐year‐old miniature horse mare with an ovarian granulosa theca‐cell tumour: A manifestation ofMeigs' syndrome?

Hector¹,

Cruz²

2014

Equine Veterinary Education

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Summary A 13‐year‐old miniature horse mare presented for evaluation of ascites. Abdominal ultrasound showed severe free peritoneal fluid accumulation as well as a caudal abdominal mass. The peritoneal fluid was characterised as a transudate with no evidence of sepsis. Surgical exploration of the abdomen was performed; copious free peritoneal fluid and a large right ovarian mass were discovered. The abnormal ovary was removed, and the mass was determined histologically to be a benign granulosa theca‐cell tumour. Although there was mild peritoneal fluid accumulation in the immediate post operative period, the ascites effectively resolved with removal of the tumour, and the mare returned to a normal lifestyle. This is similar to reports of Meigs' syndrome in human women, in which a benign ovarian mass of significant size causes ascites that resolves once the mass is removed.

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“…This syndrome is an important consideration in the differential diagnosis of ovarian cancer, and rarely causes fatal manifestations . Only 32 studies on pseudo‐Meigs' syndrome complicated with uterine leiomyoma have been reported using a medline search (search terms: pseudo‐Meigs' and leiomyoma, leiomyoma and ascites) since 1900 (Table ) . The association of uterine leiomyoma with ascites and/or PE was first reviewed by Kelly and Cullen in 1909 .…”

Section: Discussionmentioning

confidence: 99%

Concentrated ascites re‐infusion therapy for pseudo‐Meigs' syndrome complicated by massive ascites in large pedunculated uterine leiomyoma

Yonehara

Yanazume

Kitajima

et al. 2014

J of Obstet and Gynaecol

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Pseudo-Meigs' syndrome accompanied by massive ascites in uterine leiomyoma is rare. We encountered a rare case of a 37-year-old, nulliparous woman with a lower abdominal tumor and severe abdominal distention due to massive ascites. Serum cancer antigen 125 and vascular endothelial growth factor levels were elevated to 1007.9 U/mL and 103 pg/mL, respectively. She was tentatively diagnosed with ovarian cancer. Emergency concentrated ascites re-infusion therapy was performed to improve dyspnea, abdominal pain, and her preoperative respiratory condition. Concentrated ascites re-infusion therapy eliminated dyspnea and abdominal discomfort without decreasing serum albumin levels. The patient underwent laparotomy, which revealed a fist-sized pedunculated uterine leiomyoma arising from the right uterine fundus. Myomectomy was performed. Pseudo-Meigs' syndrome mimics advanced ovarian cancer due to massive ascites and markedly elevated serum cancer antigen 125 and vascular endothelial growth factor levels. Concentrated ascites re-infusion therapy was effective in improving the subjective symptoms of pseudo-Meigs' syndrome and the patient's preoperative condition.

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Pseudo‐Meigs' Syndrome Secondary to Broad Ligament Leiomyoma: A Case Report

Cited by 20 publications

References 5 publications

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Pseudo-Meigs syndrome in association with primitive peritoneal tumor

Ascites in a 13‐year‐old miniature horse mare with an ovarian granulosa theca‐cell tumour: A manifestation ofMeigs' syndrome?

Concentrated ascites re‐infusion therapy for pseudo‐Meigs' syndrome complicated by massive ascites in large pedunculated uterine leiomyoma

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