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CASE REPORT
Year : 2015  |  Volume : 35  |  Issue : 3  |  Page : 125-127

Meigs' syndrome in an elderly woman with short of breath


1 Department of Surgery, Taoyuan Armed Forces General Hospital, Taiwan, Republic of China
2 Department of Obstetrics and Gynecology, National Defense Medical Center, Tri-Service General Hospital, Taiwan, Republic of China
3 Department of Pathology and Laboratory Medicine, Taoyuan Armed Forces General Hospital, Taiwan, Republic of China

Correspondence Address:
Hong-Ming Chao
Department of Surgery, Taoyuan Armed Forces General Hospital, No. 168, Chung-Hsing Road, Taoyuan, 325, Taiwan
Republic of China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1011-4564.158688

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The Meigs' syndrome is a rare syndrome defined as the triad of benign solid ovarian tumors, ascites, and pleural effusion, which resolve spontaneously and permanently after tumor resection. Lung collapse due to a large amount of pleural effusion is a common mechanism of death. It always requires surgical treatment. We report an 84-year-old woman with a large ovarian fibroma associated with Meigs' syndrome and short of breath. It is difficult to diagnose preoperatively and is usually misdiagnosed as an ovarian malignancy. Considering the patient's serious clinical condition and assuming that she had Meigs' syndrome with a large ovarian mass and possible lung collapse due to large amount of pleural effusion, we chose the most appropriate surgical treatment after pathologic examination, then enabled definitive diagnosis of the benign tumor and removed the huge ovarian fibroma. This resulted in a timely symptoms resolution, short hospitalization, and relatively low morbidity in elderly.


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