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[An atypical Demons-Meigs syndrome]
F Cuillier1, K David, M Tanguy
1Service de gynécologie-obstétrique, hôpital Félix-Guyon, 97400 Saint-Denis, La Réunion. fabrice.cuillier@wanadoo.fr
Gynecologie, Obstetrique & Fertilite
|June 29, 2002
Summary
Meigs'syndrome involves ascites and hydrothorax with benign ovarian tumors. Pseudo-Meigs'syndrome presents similarly but with other pelvic masses, with tumor removal being the key treatment for both conditions.
Area of Science:
- Gynecology
- Pulmonology
- Oncology
Background:
- Meigs' syndrome is characterized by ascites, hydrothorax, and a benign ovarian tumor.
- Pseudo-Meigs' syndrome involves ascites and hydrothorax with pelvic masses other than ovarian fibromas.
Observation:
- A 50-year-old woman presented with symptoms consistent with pseudo-Meigs' syndrome.
- Her condition involved hydrothorax and a uterine leiomyoma.
Findings:
- The patient's presentation mimicked Meigs' syndrome but was attributed to a uterine leiomyoma, classifying it as pseudo-Meigs' syndrome.
- Both Meigs' and pseudo-Meigs' syndromes necessitate consideration in women with unexplained ascites and hydrothorax.
Implications:
- The distinction between Meigs' and pseudo-Meigs' syndrome is clinically less critical as surgical removal of the mass is the definitive treatment for both.
- This case highlights the importance of considering uterine leiomyomas in the differential diagnosis of ascites and hydrothorax.
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