Journal of Medical Case Reports (Apr 2010)

Magnetic resonance imaging findings in pseudo-Meigs' syndrome associated with a large uterine leiomyoma: a case report

  • Drevelegas Antonios,
  • Papadopoulou Elissavet,
  • Chourmouzi Danai

DOI
https://doi.org/10.1186/1752-1947-4-120
Journal volume & issue
Vol. 4, no. 1
p. 120

Abstract

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Abstract Introduction Pseudo-Meigs' syndrome is a rare pathological entity characterized by the presence of a pelvic mass other than an ovarian fibroma. The mass is associated with ascites with or without hydrothorax. Case presentation We describe the case of a 41-year-old Caucasian woman with a large uterine leiomyoma associated with massive ascites. A magnetic resonance imaging scan showed a large subserosal leiomyoma with multiple areas of cystic degeneration. Conclusion To the best of our knowledge, this is the first reported case of pseudo-Meigs' syndrome caused by a uterine leiomyoma and diagnosed using magnetic resonance imaging. The pathophysiology of this syndrome and the role of magnetic resonance imaging are emphasized in this case report.