Abstract | BACKGROUND: The association of a benign ovarian tumor with ascites and hydrothorax that resolve after tumor resection, known as Meigs syndrome is a rare clinical entity. Rarer still is the haemorrhagic form of the syndrome OBJECTIVE: METHODS: A thirty-seven year old woman was referred for the further management of a pleural effusion. A detailed clinical evaluation was carried out, including pleural fluid cytology, chest CT scan and laparatomy. Treatment included antituberculous therapy and finally ovariectomy. RESULTS: The physical examination and a pelvic ultrasonographic scan revealed ascites in addition to a right sided ovarian mass. A chest CT-scan did not show any intrathoracic mass. Repeated pleural fluid cytology showed mesothelial cells but was negative for malignancy. An ovariectomy was performed and histological examination revealed a thecoma fibroma. The pleural effusion and ascites resolved spontaneously thus confirming the diagnosis of Meigs' syndrome. CONCLUSION:
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Authors | E I Agaba, C C Ekwempu, S O Ugoya, G O Echejoh |
Journal | West African journal of medicine
(West Afr J Med)
2007 Jul-Sep
Vol. 26
Issue 3
Pg. 253-5
ISSN: 0189-160X [Print] Nigeria |
PMID | 18399347
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Diagnosis, Differential
- Female
- Fibroma
(diagnosis, surgery)
- Hemorrhage
(diagnosis, etiology, surgery)
- Hemothorax
(diagnosis, surgery)
- Humans
- Meigs Syndrome
(complications, diagnosis, surgery)
- Ovarian Neoplasms
(diagnostic imaging)
- Ovariectomy
- Pleural Effusion
(diagnosis, etiology, surgery)
- Ultrasonography
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