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[Demons-Meigs syndrome: apropos of 1 case]
F Massoni1, L Carbillon, E Azria
1Service de gynécologie obstétrique, Hôpital Jean-Verdier, avenue du 14 Juillet, 93143 Bondy, France.
Abstract:
A 33-year-old patient presented with ascites and a right abdominal mass. Ultrasound and scannography showed it was probably a solid ovarian tumor measuring 175 mm x 115 mm. Serum Ca 125 was 752 UI/mL and ACE was normal. Surgical exploration revealed 3.2 liters ascites without any suspect peritoneal implant and a bulky ovarian fibrothecoma. The patient recovered quickly and serum Ca 125 was 43 UI/mL one month post-operatively. In this case report of Meigs' syndrome serum CA 125 level was particularly high. Preoperative diagnostic difficulties are discussed.
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