A case report of Meigs syndrome

Abstract

Introduction: Meigs syndrome could be defined as a combination of ascitis, ovarian tumor and hydrothorax that is usually seen among women after menopause. The source of tumor is from mesenchymal tissues of ovary. The tumor is tight and gray on its surface. It lacks any hormonal release. If the fibroma is along with ascitis and hydrothorax, it may lead to Meigs syndrome. Case: She is a 64-year-old woman with symptoms of pain, uterine heaviness and a history of primary infertility and menopause, for which she came to Ghaem hospital. On physical examination of abdomen, we suspected ascitis but after full investigation, ovarian tumor, ascitis and hydrothorax were confirmed. Thus, laparotomy was performed after diagnosis of Meigs syndrome. On laparotomy, left ovarian tumor and ascitis were observed. Hydrothorax and bilateral salpingoophorectomy of the ovary were done. Biopsy from omentum and puncture of ascitis fluid was done. The fluid was negative for malignancy and ovarian fibroma was reported by pathology lab. The patient was discharged and during three to four months after the operation, alleviation of hydrothorax in chest-X-ray was proved and there wasn’t any abnormal finding on abdominal or pelvic examinations.

Keywords

• ovarian tumor
• hydrothorax
• ascitis
• meigs syndrome