Struma ovarii presented with pseudo-Meigs' syndrome: a case report and review of the literature
Journal Title: Hippocrates Medical Journal - Year 2021, Vol 1, Issue 1
Abstract
Abstract Pseudo-Meigs' syndrome is a clinical condition characterized by ascites and pleural effusion, accompanied by pelvic tumors other than ovarian fibroma. Struma ovarii is a tumor that can lead to this syndrome and is a variant of mature cystic teratoma. When presented with Pseudo-Meigs’ syndrome, it is important because it can be confused with malignant ovarian tumors, peritonitis carcinomatosis and malignant pleural effusion. Another important factor is the disappearance of the ascites and pleural effusion and rapid regression of symptoms after the removal of the tumor. Accompanying ascites and high CA-125 values with struma ovarii is very rarely seen. In the present report, a 53-year-old patient with histopathological diagnosis of struma ovarii who had been operated because of presumptive diagnosis of ovarian malignancy and whose symptoms and complaints rapidly resolved during the postoperative period was presented. Pseudo-Meigs’ syndrome should be considered among differential diagnoses in the presence of CA125 elevation, ovarian mass, ascites, pleural effusion in postmenopausal period. In addition, Pseudo-Meigs’ syndrome, though rarely, should be considered among differential diagnoses in patients who have not yet lost their fertility potential but whose cytological examination yielded negative results in terms of malignancy, especially in the presence of unexplained ascites and pleural effusion.
Authors and Affiliations
Yakup BAYKUŞ, Rulin DENİZ, Muhammet Bora UZUNER , Alihan TIĞLI ,Nazlı ŞENER
Keywords
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- DOI https://doi.org/10.29228/HMJ.6
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Struma ovarii presented with pseudo-Meigs' syndrome: a case report and review of the literature
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