A case of Pseudo-Meigs’ syndrome due to Brenner tumor

Tetsuya Abe, MD; Tsukasa Saida, MD; Kaoru Fujieda, MD; Kei Inoue, MD; Toyomi Satoh, MD; Takahito Nakajima, MD

Radiology Case Reports (Mar 2023)

A case of Pseudo-Meigs’ syndrome due to Brenner tumor

Tetsuya Abe, MD,
Tsukasa Saida, MD,
Kaoru Fujieda, MD,
Kei Inoue, MD,
Toyomi Satoh, MD,
Takahito Nakajima, MD

Affiliations

Tetsuya Abe, MD: Department of Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan
Tsukasa Saida, MD: Department of Radiology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan; Corresponding author.
Kaoru Fujieda, MD: Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
Kei Inoue, MD: Department of Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan
Toyomi Satoh, MD: Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
Takahito Nakajima, MD: Department of Radiology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan

Journal volume & issue: Vol. 18, no. 3
pp. 1349 – 1352

Abstract

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A 65-year-old woman with suspected ascites-associated abdominal distention had elevated CA125 levels. Contrast-enhanced computed tomography to search for the cause of the ascites showed bilateral pleural effusions, ascites, and an ovarian tumor. On magnetic resonance imaging the tumor exhibited a lobulated structure and markedly low signal intensity on both T1- and T2-weighted imaging, with no restrictions on diffusion-weighted images. Progressive enhancement was observed at tumor margins. Meigs syndrome due to fibroma was suspected, and total hysterectomy, bilateral salpingo-oophorectomy, and partial omentectomy were performed. Postoperatively, the pleural effusion and ascites resolved promptly without specific treatment. On pathological examination, the ovarian tumor was diagnosed as a benign Brenner tumor with scattered nests of transitional epithelium within a large amount of stroma. Based on the clinical course, the patient was diagnosed with pseudo-Meigs’ syndrome due to a Brenner tumor.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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