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Meigs syndrome is a rare condition characterized by the presence of a benign fibroma of the ovary, ascites, and pleural effusion. It is very uncommon and the diagnosis is made with difficulty based on symptoms that usually mimic disseminated malignancy or tuberculosis. Although it is a benign and treatable condition, extreme presentations of late-stage diseases occur with high mortality and morbidity rates. We report on a case of a 13-year-old female presenting with misdiagnosed late-stage Meigs Syndrome in a low-resource setting.
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http://dx.doi.org/10.1093/omcr/omaf056 | DOI Listing |
J Forensic Sci
September 2025
Cook County Medical Examiner's Office, Chicago, Illinois, USA.
Pseudo-Meigs syndrome is a rare clinical entity characterized by the triad of ascites, pleural effusion, and a benign pelvic tumor other than an ovarian fibroma. Although typically considered benign and reversible following tumor removal, the syndrome can result in severe life-threatening compromise if unrecognized or untreated. Unlike the classical Meigs syndrome, which has occasionally been associated with fatal outcomes, no deaths related to pseudo-Meigs syndrome due to benign tumors have been previously reported.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2025
Department of General Surgery, Division of Pediatric Surgery, State University of New York, Downstate Health Sciences University, United States of America. Electronic address:
Introduction: Pseudo-Meigs' syndrome is described as the triad of a pleural effusion, ascites, and pelvic or abdominal tumor that is not an ovarian fibroma or thecoma. To our knowledge, this is the first reported pediatric case of pseudo-Meigs' syndrome secondary to a Sertoli-Leydig cell tumor (SLCT).
Presentation Of Case: A 12-year-old female with a past medical history of asthma and obesity (body mass index of 37) presented to the emergency department with complaints of abdominal pain, loss of appetite, irregular menses, and shortness of breath for one month.
Biomol Biomed
August 2025
Department of Gynecology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Sex cord-stromal tumors are rare ovarian neoplasms, with fibromas comprising approximately 4% and thecomas accounting for 0.5-1% of all ovarian tumors. The occurrence of these tumors outside the ovaries is exceptionally rare and diagnostically challenging, often mimicking malignancy when associated with ascites, elevated CA-125 levels, or Meigs-like syndrome.
View Article and Find Full Text PDFInt J Gynaecol Obstet
August 2025
Department of Urogynecology, Istanbul Medipol University Faculty of Medicine, Istanbul, Türkiye.
Total laparoscopic hysterectomy (TLH) is the most common gynecologic procedure for fibroids. However, massive serous ascites has not yet been reported. For this reason, the management of ascites is challenging because it is an unexpected situation.
View Article and Find Full Text PDFJ Vet Intern Med
July 2025
DIVAS-Department of Veterinary Medicine and Animal Science, University of Milan, Lodi, Italy.
A 4-year-old spayed female domestic shorthair cat was evaluated for a three-day history of dyspnea and lethargy. Abdominal ultrasonography and thoracic radiographs revealed the presence of abdominal and pleural effusions, along with both uterine horns and a rounded mass in the pelvic abdomen. Both effusions were compatible with modified transudates rich in protein and negative for infectious disease.
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