A case of pseudo-Meigs’ syndrome mismanaged as peritoneal carcinomatosis

Publication date: Available online 15 January 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Felix Wong This paper reported a woman with uterine fibroids and recurrent ascites being managed by her clinical oncologist as peritoneal carcinomatosis, and treated with repeated tapping, chemotherapy and immunotherapy. She was finally referred to a gynaecologist who treated her with a laparoscopic hysterectomy bilateral salpingo-oophorectomy for her severe anemia, aiming to remove her large fibroid as well as to exclude ovarian or uterine malignancy. Her symptoms disappeared after the surgery without recurrence of ascites at two years follow up. Despite disseminated malignant ascites can exist in a patient with fibroids, clinicians should be aware of this rare pseudo-Meigs’ syndrome when no clinical evidence of malignancy was confirmed by investigations. Otherwise it may mislead the diagnosis and management.
Source: Gynecology and Minimally Invasive Therapy - Category: OBGYN Source Type: research