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Related Experiment Videos

[Pseudo-Meigs syndrome, a rare variant].

M Munteanu1, F Petrescu, E Pleşea

  • 1Clinica III Chirurgie Generală, UMF Craiova. alexiee@rdslink.ro

Chirurgia (Bucharest, Romania : 1990)
|June 7, 2006
PubMed
Summary

Pseudo-Meigs syndrome, characterized by pelvic tumors, ascites, and hydrothorax, is rarely caused by uterine leiomyoma. This case highlights diagnostic challenges and rarity of this rare gynecologic condition.

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Area of Science:

  • Gynecology
  • Oncology
  • Pulmonology

Background:

  • Pseudo-Meigs syndrome is a rare condition involving pelvic tumors, ascites, and hydrothorax, typically associated with ovarian fibromas.
  • Uterine leiomyoma is an exceptionally rare cause of pseudo-Meigs syndrome, with only 24 cases documented previously.
  • Most reported cases of uterine leiomyoma-associated pseudo-Meigs syndrome involve hydropic degeneration or necrosis.

Observation:

  • A 50-year-old obese woman with nanism presented with respiratory insufficiency, hypertension, and tachycardia.
  • Clinical examination revealed massive right hydrothorax, ascites, and a pelvic tumor.
  • Biologic and imaging studies, including benign cytology and elevated CA-125, indicated Meigs/pseudo-Meigs syndrome.

Findings:

  • Laparotomy was performed, and subsequent histopathology confirmed the diagnosis of uterine leiomyoma presenting as pseudo-Meigs syndrome.

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  • The patient's hypertension, present for over five years, did not require postoperative treatment.
  • Postoperative evolution was favorable, with resolution of ascites and hydrothorax.

    • Implications:

    • This case underscores the rarity of uterine leiomyoma as a cause of pseudo-Meigs syndrome.
    • It highlights the diagnostic complexities and the importance of considering uterine leiomyoma in the differential diagnosis of Meigs/pseudo-Meigs syndrome.
    • The successful surgical management emphasizes the curative potential of tumor extirpation for this syndrome.