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Rapidly progressing ascites in a pregnancy with a massive fibroid: A case report and review of pseudo‐Meigs syndrome.
- Source :
-
International Journal of Gynecology & Obstetrics . Oct2024, Vol. 167 Issue 1, p128-131. 4p. - Publication Year :
- 2024
-
Abstract
- Meigs syndrome is a classic triad of ascites, pleural effusions, and an ovarian fibroma with resolution following excision. Pseudo‐Meigs syndrome presents similarly but is caused by a pelvic mass other than an ovarian fibroma, such as a fibroid. We present a case report of a 33‐year‐old gravida 2 para 0‐0‐1‐0 woman with a massive, pedunculated fibroid who developed rapid onset of ascites and edema beginning at 5 weeks of gestation. Malignant, cardiac, renal, hepatic, and rheumatologic causes were ruled out. Her symptoms resolved following myomectomy and delivery via cesarean. Pseudo‐Meigs syndrome was suspected. Pseudo‐Meigs syndrome is a diagnosis of exclusion and requires surgical management for resolution. Pregnancy may be an inciting factor. Myomectomy may be done safely at the time of cesarean. Synopsis: Pseudo‐Meigs syndrome consists of ascites, pleural effusions, and a benign pelvic mass and resolves with surgical excision; it may be exacerbated in pregnancy. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SURGICAL excision
*PLEURAL effusions
*MYOMECTOMY
*PREGNANT women
*FIBROMAS
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 167
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 179808072
- Full Text :
- https://doi.org/10.1002/ijgo.15604