A case report of ovarian fibroids torsion with ascites and pleural effusion: case report

• Main Authors: Seyede Houra Mousavi Vahed, Maliheh Afiat, Fahimeh Alizadeh, Anahita Hamidi Laien, Zeynab Khademi, Azin Nikoozadeh
• Format: Article
• Language: fas
• Published: Tehran University of Medical Sciences 2019-05-01
• Series: Tehran University Medical Journal
• Subjects: abdominal pain; ascites; Meigs syndrome; pleural effusion
• Online Access: http://tumj.tums.ac.ir/article-1-9642-en.html
• ISSN: 1683-1764; 1735-7322

Background: Ovarian fibroma is the most common benign solid tumor of the ovary. The most common symptoms are abdominal discomfort and pain. Ovarian fibroids are associated with Meigs syndrome in 1% to 10% of cases. The aim of study is report of a case of Meigs syndrome Case presentation: A 65-year-old menopausal woman who complained of abdominal pain was referred to our academic hospital of Mashhad, Iran, in April 2018. In abdominal examination, a soft mass with size of 200×100 mm, was detected. Also leukocytosis and increase in CRP was observed. Marker CA125 was higher than 200. In CT scan in right adnexa heterogeneous mass 170×100 mm with enhancement was reveled. pleural effusion was reported in the both lungs and collapse of underlying lung tissue in Chest X-ray. Explorative laparotomy was performed. Ascites and inflamed omentum covered the surface of right ovary was detected. The huge solid-cystic hemorrhagic, irregular mass with a specific pedicle that enclosed in the capsule in right adnexa was seen. Right salpingo-oophorectomy was performed. The result of final pathologic was benign proliferative lesions of mitotic fibroblasts were reported according to ovarian fibroma. Conclusion: In case of accompanying ovarian mass with ascites and pleural effusion, after the exclude of ovarian malignancies, Meigs syndrome should be considered in differential diagnosis.