Pseudo-Meigs' syndrome caused by a Krukenberg tumour of gastric cancer.

Abstract

A 50-year-old woman who presented with a one-month history of abdominal fullness and dyspnoea was admitted to our hospital. Esophagogastroduodenoscopy showed the scirrhous-type gastric cancer on the greater curvature of the gastric body. Computed tomography revealed bilateral large ovarian tumours with massive right pleural effusion and ascites. A repeated cytological examination of pleural effusion and ascites revealed no malignant cells. The definitive diagnosis of pseudo-Meigs' syndrome was made by confirming the fact that pleural effusion and ascites disappeared after bilateral oophorectomy. Resection of ovarian tumours may also lead to long-term survival, even in the patients with pseudo-Meigs' syndrome caused by gastric cancer.

• Authors: Takahiro Horimatsu, Shin'ichi Miyamoto, Yoko Mashimo, Hiroshi Okabe, Yoshiki Mikami, Tsutomu Chiba, Manabu Muto
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 54 Issue 20 Pg. 2595-7 ( 2015) ISSN: 1349-7235 [Electronic] Japan
• PMID: 26466694 (Publication Type: Case Reports, Journal Article)

Topics

• Ascites (complications)
• Dyspnea (etiology)
• Fatal Outcome
• Female
• Humans
• Krukenberg Tumor (complications, diagnosis, pathology)
• Meigs Syndrome (diagnosis, pathology)
• Middle Aged
• Ovarian Neoplasms (diagnostic imaging, secondary)
• Ovariectomy
• Pleural Effusion (complications)
• Stomach Neoplasms (complications, diagnosis, pathology)
• Tomography, X-Ray Computed