Related Experiment Video
Updated: Jul 6, 2026
04:44
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Meigs' syndrome presenting as haemorrhagic pleural effusion
E I Agaba1, C C Ekwempu, S O Ugoya
1Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria. eiagaba@yahoo.com
West African Journal of Medicine
|April 11, 2008
Summary
Meigs syndrome, a rare condition linking benign ovarian tumors to ascites and pleural effusion, was observed. Surgical removal of the ovarian tumor resolved these symptoms, confirming the diagnosis.
Area of Science:
- Gynecologic Oncology
- Pulmonology
- Internal Medicine
Background:
- Meigs syndrome is a rare clinical entity characterized by benign ovarian tumors, ascites, and hydrothorax.
- The hemorrhagic variant of Meigs syndrome, involving bloody pleural effusion, is exceptionally rare.
Observation:
- A 37-year-old woman presented with unexplained pleural effusion.
- Clinical evaluation included imaging (CT scan, ultrasound) and pleural fluid analysis.
- Initial management involved antitubercular therapy prior to definitive surgical intervention.
Findings:
- Pelvic ultrasound revealed an ovarian mass with associated ascites.
- Chest CT excluded intrathoracic masses; pleural fluid cytology was negative for malignancy.
- Ovariectomy confirmed a thecoma fibroma; subsequent resolution of ascites and effusion confirmed Meigs syndrome.
Implications:
- This case highlights the importance of considering Meigs syndrome in the differential diagnosis of ascites and hemorrhagic pleural effusion in women.
- Prompt diagnosis and surgical management of the ovarian tumor are crucial for symptom resolution.
- The successful outcome underscores the need for a multidisciplinary approach in managing complex gynecologic and pulmonary presentations.
Related Concept Videos
01:25Pleural Effusion I: Introduction
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...
01:28Pleural Effusion II: Symptoms and Management
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
01:29Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
01:19Pulmonary Embolism I: Introduction
A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
01:30Pleural Disorders: Types and Brief Description
The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations: