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[Meigs' syndrome. One case].

B Maïga1, A Dolo, M Dembele

  • 1Service de gynécologie-obstétrique de l'hôpital national de Bamako, Mali. centrereferencecv@cefib.com

Gynecologie, Obstetrique & Fertilite
|May 29, 2003
PubMed
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Meigs' syndrome, a rare ovarian tumor causing fluid buildup, was successfully treated surgically in a 34-year-old woman. Tumor removal resolved her respiratory distress, highlighting the effectiveness of surgical intervention for this condition.

Area of Science:

  • Gynecologic Oncology
  • Reproductive Medicine
  • Abdominal Imaging

Background:

  • Meigs' syndrome is characterized by ovarian tumors associated with ascites and pleural effusion.
  • The exact pathophysiology of Meigs' syndrome remains incompletely understood.
  • This condition is infrequently encountered in clinical practice.

Observation:

  • A 34-year-old woman presented with severe dyspnea and abdominal distension, initially suspected to have a malignant process.
  • Pelvic and abdominal ultrasonography, along with thoracic radiography, were crucial in diagnosing the condition.
  • The patient exhibited signs of significant cardiorespiratory compromise due to the abdominal tension.

Findings:

  • Surgical ablation of the ovarian tumor resulted in rapid and complete resolution of the patient's symptoms, including dyspnea and ascites.

Related Experiment Videos

  • Histopathological examination revealed the ovarian mass to be a large mucinous cystadenoma.
  • The recurrent serous effusion associated with the tumor demonstrated resorption post-operatively.

    • Implications:

    • This case underscores the importance of considering Meigs' syndrome in the differential diagnosis of ovarian masses presenting with ascites and pleural effusion.
    • Surgical management is effective in treating Meigs' syndrome, leading to prompt recovery.
    • Further research into the physiopathology of Meigs' syndrome may improve diagnostic and therapeutic strategies for similar rare ovarian conditions.